CANDIE M. WELLWOOD DNP, PMHNP
NPI 1386254290
Nurse Practitioner - Psychiatric/Mental Health in Medical Lake, WA

Q: What is Candie Wellwood's NPI number?

The NPI number for Candie Wellwood is 1386254290. It was assigned to this individual provider in the NPPES registry on August 5, 2020. The provider is also known as Candie M Johnson Dnp, Pmhnp.

Q: What is Candie Wellwood's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Candie Wellwood was last updated on December 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 05, 2020PECOS EnrolledAccepts Medicare Assignment

731 N STANLEY ST, MEDICAL LAKE, WA 99022(509) 299-6900(509) 351-2818 Get Directions Write a Review

NPPES record last updated: December 16, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 16, 2025, Jul 28, 2021, Dec 8, 2020 and 2 more (5 updates tracked since 2020).

On this page

About Candie M. Wellwood Dnp, Pmhnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CANDIE M. WELLWOOD DNP, PMHNP (NPI 1386254290) is an individual psychiatric/mental health provider in Medical Lake, Washington, licensed in Washington (AP61025826) and active in the NPI registry since August 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1386254290

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameCANDIE M. WELLWOODCredential: DNP, PMHNP

Location Address731 N STANLEY STMedical Lake, WA 99022-8940

Mailing Address731 N Stanley StMedical Lake, WA 99022-8940 · (509) 299-6900 · Fax (509) 299-6900

Phone(509) 299-6900

Fax(509) 351-2818

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateAugust 5, 2020

Last NPPES UpdateDecember 16, 20255 updates tracked since enumeration

NPPES CertifiedDecember 16, 2025

✔ NPI 1386254290 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in WA · AP61025826

731 N STANLEY ST, Medical Lake, WA 99022

Open in Google Maps ↗

Other Names 1

Former Name (1)Candie M Johnson Dnp, Pmhnp

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Candie M. Wellwood Dnp, Pmhnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9133546708

PECOS Enrollment IDI20200827000940

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99022 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$88.29 typical visit price

range $57.27 – $172.80

Typical copayment $22.07 (range $14.31 – $43.20)

Most-billed visit code 99203

Established Patient

$100.78 typical visit price

range $18.56 – $141.11

Typical copayment $25.19 (range $4.64 – $35.27)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WENDY CARGILE DICKERSON

Massage Therapist