CANDICE ANN MANSOOR M.D.
NPI 1821408790
Pediatrics in Shelby Twp, MI
About Candice Ann Mansoor M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CANDICE ANN MANSOOR M.D. (NPI 1821408790) is an individual pediatrics provider in Shelby Twp, Michigan, licensed in Michigan (4301105691) and active in the NPI registry since May 2014. She is enrolled in Medicare PECOS and maintains 3 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Secondary Practice Locations 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Candice Ann Mansoor M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Candice Mansoor reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Lapeer, MI 48446
- Reassigned Medicare billing, Michigan enrollment
- 467 clinicians in this Medicare group
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 48315 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 15
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SHELBY TOWNSHIP, MI 48315
SHELBY TWP, MI 48315
SHELBY TOWNSHIP, MI 48315
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 Mansoor's NPI number?
The NPI number for Candice Mansoor is 1821408790. It was assigned to this individual provider in the NPPES registry on May 1, 2014. The provider is also known as Candice Ann Attisha.
Where is Candice Mansoor located?
Candice Mansoor practices at 15125 22 Mile Rd, Shelby Twp, MI 48315. The listed phone number is (586) 532-0599.
What is Candice Mansoor's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Candice Mansoor enrolled in Medicare?
Yes. Candice Mansoor is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Candice Mansoor's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Candice Mansoor reassigns Medicare benefits to Hurley Medical Center (Lapeer, MI). The 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 Candice Mansoor's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Candice Mansoor accept?
Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health and UnitedHealthcare list Candice Mansoor 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 Mansoor was last updated on July 11, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Candice Ann Mansoor, M.D. · NPI 1821408790
Pediatrics physician in Shelby Twp, Michigan. Individual provider, active in the CMS NPPES registry since May 1, 2014.
## Identity
- **NPI:** 1821408790 (Entity type: Individual)
- **Enumerated:** May 1, 2014
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** 4301105691 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 15125 22 MILE RD, Shelby Twp, MI 48315
- **Phone:** (586) 532-0599
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Hurley Medical Center (NPI 1003271792, Lapeer, MI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 11, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1821408790) · Data from the CMS NPPES public registry.