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CANDICE ELISE MALDONADO NURSE PRACTITIONER
NPI 1760845606
Nurse Practitioner - Family in Tulsa, OK

Active since March 29, 2016PECOS Enrolled
9245 S MINGO RD, TULSA, OK 74133(918) 574-0250(918) 574-0259 Get Directions Write a Review

NPPES record last updated: March 5, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 5, 2021, Mar 17, 2018, Jan 11, 2018 and 2 more (5 updates tracked since 2016).

About Candice Elise Maldonado Nurse Practitioner NPPES

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

CANDICE ELISE MALDONADO NURSE PRACTITIONER (NPI 1760845606) is an individual family provider in Tulsa, Oklahoma, licensed in Oklahoma (99434) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1760845606
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCANDICE ELISE MALDONADOCredential: NURSE PRACTITIONER
Location Address9245 S MINGO RDTulsa, OK 74133-5793
Mailing Address2368 Meadowmont Dr Apt 401San Jose, CA 95133-1253 · (336) 331-7600
Phone(918) 574-0250
Fax(918) 574-0259
Sole ProprietorNo
Enumeration DateMarch 29, 2016
Last NPPES UpdateMarch 5, 20215 updates tracked since enumeration
NPPES CertifiedMarch 5, 2021
✔ NPI 1760845606 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 OK · 99434
9245 S MINGO RD, Tulsa, OK 74133
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11551 N 9th StBroken Arrow, OK 74012-8898 · Phone (918) 455-3627
Location 2751 S Bascom AveSan Jose, CA 95128-2699 · Phone (408) 885-5689

Other Identifiers 1

Medicaid200646430AOK

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Candice Elise Maldonado Nurse Practitioner 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74133 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
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$94.27 typical visit price
range $16.68 – $132.40
Typical copayment $23.56 (range $4.17 – $33.10)
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 10

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

AELAYNA MEYER MD
Internal Medicine
9245 S MINGO RD
TULSA, OK 74133
Tulsa County (918) 492-8980
DR. GIRISH CHINTAMANI MOHAN M.D.
Dermatology
9245 S MINGO RD
TULSA, OK 74133
Tulsa County (918) 492-8980
MATTHEW BRETT DOHLMAN P.A.
Physician Assistant (Medical)
9245 S MINGO RD
TULSA, OK 74133
Tulsa County (918) 492-8980
MEGAN BLAIRE KASSEM
Physician Assistant (Medical)
9245 S MINGO RD
TULSA, OK 74133
Tulsa County (918) 574-0250
DR. BERNARD N ROBINOWITZ M.D.
Dermatology
9245 S MINGO RD, SUITE 335
TULSA, OK 74133
Tulsa County (918) 492-8980
EARL MICHAEL CALLERY D.O.
Family Medicine
9245 S MINGO RD
TULSA, OK 74133
Tulsa County (918) 574-0250
DR. LISA MASK BULL M.D.
Dermatology
9245 S MINGO RD
TULSA, OK 74133
Tulsa County (918) 492-8980
DONNA MAY DEVORE F.N.P.-B.C.
Nurse Practitioner (Family)
9245 S MINGO RD
TULSA, OK 74133
Tulsa County (918) 574-0250

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 Maldonado's NPI number?

The NPI number for Candice Maldonado is 1760845606. It was assigned to this individual provider in the NPPES registry on March 29, 2016.

Where is Candice Maldonado located?

Candice Maldonado practices at 9245 S Mingo Rd, Tulsa, OK 74133. The listed phone number is (918) 574-0250.

What is Candice Maldonado's specialty?

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

Is Candice Maldonado enrolled in Medicare?

Yes. Candice Maldonado is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Candice Maldonado was last updated on March 5, 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.