MS. CANDACE D MANGUM CRNP
NPI 1407924384
Nurse Practitioner - Primary Care in Notasulga, AL

Active since December 01, 2006PECOS EnrolledAccepts Medicare Assignment
56 WEST MAIN STREET, NOTASULGA, AL 36866(334) 257-1081(334) 257-1086 Get Directions Write a Review

NPPES record last updated: June 8, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Candace D Mangum Crnp NPPES

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

MS. CANDACE D MANGUM CRNP (NPI 1407924384) is an individual primary care provider in Notasulga, Alabama, licensed in Alabama (1-090975) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2005).

NPPES Registry Identity

NPI1407924384
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameMS. CANDACE D MANGUMCredential: CRNP
Location Address56 WEST MAIN STREETNotasulga, AL 36866-0100
Mailing AddressPo Box 100Notasulga, AL 36866-0100 · (334) 257-1081 · Fax (334) 257-1086
Fax(334) 257-1086
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateDecember 1, 2006
Last NPPES UpdateJune 8, 2009
NPI 1407924384 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License Licensed in AL · 1-090975
56 WEST MAIN STREET, Notasulga, AL 36866

Other Identifiers 5

Medicare PIN051558482MANAL
Medicare UPINQ75732AL
Other051558482AL · Ptan
Medicaid891017112AL
Other1164550489Organizational Npi

Accepted 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

Ms. Candace D Mangum Crnp 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 ID7618070855
PECOS Enrollment IDI20070308000642
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 36866 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
98%169 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
9 suppliers30 claims58 services$6.22 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers14 claims14 services$1.03 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

Nurse Practitioner (Primary Care)
56 WEST MAIN STREET
NOTASULGA, AL 36866

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Candace Mangum's NPI number?

The NPI number for Candace Mangum is 1407924384. It was assigned to this individual provider in the NPPES registry on December 1, 2006.

Where is Candace Mangum located?

Candace Mangum practices at 56 West Main Street, Notasulga, AL 36866. The listed phone number is (334) 257-1081.

What is Candace Mangum's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Candace Mangum enrolled in Medicare?

Yes. Candace Mangum is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Candace Mangum accept?

Health plans from Blue Cross and Blue Shield of Alabama list Candace Mangum as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Candace Mangum was last updated on June 8, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years 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.