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MRS. CANDICE ANN NEGRETE FNP-BC
NPI 1700127313
Nurse Practitioner - Family in Birch Run, MI

Active since March 06, 2013PECOS EnrolledAccepts Medicare Assignment
9900 BIRCH RUN RD STE D, BIRCH RUN, MI 48415(989) 624-1575(989) 624-1507 Get Directions Write a Review

NPPES record last updated: April 12, 2021. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Apr 12, 2021, Apr 8, 2021, Oct 23, 2019 and 1 more (4 updates tracked since 2019).

About Mrs. Candice Ann Negrete Fnp-bc NPPES

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

MRS. CANDICE ANN NEGRETE FNP-BC (NPI 1700127313) is an individual family provider in Birch Run, Michigan, licensed in Michigan (4704263385) and active in the NPI registry since March 2013. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1700127313
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. CANDICE ANN NEGRETECredential: FNP-BC
Location Address9900 BIRCH RUN RD STE DBirch Run, MI 48415
Mailing AddressPo Box 779Tawas City, MI 48764-0779 · (855) 298-9888 · Fax (989) 497-3162
Phone(989) 624-1575
Fax(989) 624-1507
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateMarch 6, 2013
Last NPPES UpdateApril 12, 20214 updates tracked since enumeration
NPPES CertifiedApril 12, 2021
✔ NPI 1700127313 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 · 4704263385
9900 BIRCH RUN RD STE D, Birch Run, MI 48415
Open in Google Maps ↗

Secondary Practice Locations 3

Location 1800 S. WashingtonSaginaw, MI 48601 · Phone (989) 907-8000
Location 29900 Birch Run Rd Ste DBirch Run, MI 48415 · Phone (989) 624-1575 · Fax (989) 624-1507
Location 3804 S Hamilton StSaginaw, MI 48602-1516 · Phone (989) 921-5372 · Fax (989) 921-5373

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.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

Mrs. Candice Ann Negrete Fnp-bc 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 ID1153553656
PECOS Enrollment IDI20220926002795
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.

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
146 services138 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
112 services104 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
69 services61 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
68 services68 patients
Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811
This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.
55 services54 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
48 services45 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48415 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

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
4 suppliers16 claims37 services$5.62 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers12 claims12 services$4.85 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 3

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

MRS. JENNIFER LYNN BENDER-STAFFORD FNP-BC
Nurse Practitioner (Family)
9900 BIRCH RUN RD STE D
BIRCH RUN, MI 48415
Saginaw County (989) 624-1575
MYMICHIGAN MEDICAL CENTER SAGINAW
Nurse Practitioner
9900 BIRCH RUN RD STE D
BIRCH RUN, MI 48415
Saginaw County (989) 624-1575
ALEXIS CARTWRIGHT FNP
Nurse Practitioner (Family)
9900 BIRCH RUN RD STE D
BIRCH RUN, MI 48415
Saginaw County (989) 624-1575

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 Candice Negrete's NPI number?

The NPI number for Candice Negrete is 1700127313. It was assigned to this individual provider in the NPPES registry on March 6, 2013.

Where is Candice Negrete located?

Candice Negrete practices at 9900 Birch Run Rd Ste D, Birch Run, MI 48415. The listed phone number is (989) 624-1575.

What is Candice Negrete's specialty?

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

Is Candice Negrete enrolled in Medicare?

Yes. Candice Negrete 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 Candice Negrete accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AvMed and Oscar Health Maintenance Organization of Florida and 2 other insurers list Candice Negrete 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 Candice Negrete was last updated on April 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.