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CANDACE FOWLKES
NPI 1568816213
Nurse Practitioner - Family in Troy, MI

Active since April 19, 2016PECOS Enrolled
880 W LONG LAKE RD, TROY, MI 48098(866) 449-6828 Get Directions Write a Review

NPPES record last updated: March 17, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 17, 2023, Nov 8, 2022, Jul 12, 2022 (3 updates tracked since 2022).

About Candace Fowlkes NPPES

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

CANDACE FOWLKES (NPI 1568816213) is an individual family provider in Troy, Michigan, licensed in Michigan (4704323451) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1568816213
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCANDACE FOWLKES
Location Address880 W LONG LAKE RDTroy, MI 48098-4504
Mailing Address700 Stewart RdMonroe, MI 48162-5304 · (313) 629-5759
Phone(866) 449-6828
Sole ProprietorNo
Enumeration DateApril 19, 2016
Last NPPES UpdateMarch 17, 20233 updates tracked since enumeration
NPPES CertifiedMarch 17, 2023
✔ NPI 1568816213 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MI · 4704323451
880 W LONG LAKE RD, Troy, MI 48098
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, CareSource (Common Ground Healthcare).Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Candace Fowlkes is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

3

Medicare enrollment records show Candace Fowlkes reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Molina Healthcare Of California
1,953 mi
Family Medicine
887 E SECOND ST
Pomona, CA 91766
  • Reassigned Medicare billing, California enrollment
  • 339 clinicians in this Medicare group
NPI 1932214228 (909) 620-7769
Central Health Plan Of California, Inc.
1,960 mi
Health Maintenance Organization
1540 BRIDGEGATE DR
Diamond Bar, CA 91765
  • Reassigned Medicare billing, California enrollment
  • 283 clinicians in this Medicare group
NPI 1386714772 (626) 388-2390
Molina Care Connections, LLC.
1,986 mi
Nurse Practitioner
200 OCEANGATE STE 100
Long Beach, CA 90802
  • Reassigned Medicare billing, Connecticut, Florida, Kentucky, Michigan and South Carolina enrollments
  • 86 clinicians in this Medicare group
NPI 1407243223 (888) 562-5442

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48098 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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 2

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

LATISHIA RENEE-DENISE BERRY ANP-BC
Nurse Practitioner
880 W LONG LAKE RD
TROY, MI 48098
Oakland County (888) 562-5442
DR. SHANNETTA L HOUZE-DIXON DNP, FNP-BC
Nurse Practitioner (Family)
880 W LONG LAKE RD
TROY, MI 48098
Oakland County (888) 562-5442

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 Fowlkes's NPI number?

The NPI number for Candace Fowlkes is 1568816213. It was assigned to this individual provider in the NPPES registry on April 19, 2016.

Where is Candace Fowlkes located?

Candace Fowlkes practices at 880 W Long Lake Rd, Troy, MI 48098. The listed phone number is (866) 449-6828.

What is Candace Fowlkes's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Candace Fowlkes enrolled in Medicare?

Yes. Candace Fowlkes is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Candace Fowlkes's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Candace Fowlkes reassigns Medicare benefits to 3 organizations: Molina Healthcare Of California (Pomona, CA), Central Health Plan Of California, Inc. (Diamond Bar, CA) and Molina Care Connections, LLC. (Long Beach, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Candace Fowlkes's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Candace Fowlkes accept?

Health plans from CareSource and CareSource (Common Ground Healthcare) list Candace Fowlkes 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 Fowlkes was last updated on March 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.