Individual provider Active NPI

Candice M. Kalipersad, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Ocala, FL
National Provider Identifier
1669984605
Registry record updated May 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN9426153 Issued in FL
Practice address
1016 SE 116TH Place Rd
Ocala, FL 34480-6539
Phone
(954) 376-0114
NPI assigned
Oct 31, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X F403990 NY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0024180854 VA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1049562 TX
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 202201064-NP-PP OR
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 225488 LA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 27265A SC
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN9426153 FL Primary

Addresses

Primary practice location

1016 SE 116TH Place Rd
Ocala, FL 34480-6539

Mailing address

1016 SE 116TH Place Rd
Ocala, FL 34480-6539

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, OR2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180502001381 FL Practitioner - Nurse Practitioner 3173881976 Reassigns benefits to 1 organization
I20230726002083 OR Practitioner - Nurse Practitioner 3173881976 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Onepeak Southern Oregon PC 25 clinicians

Practice addresses (Care Compare)

3265 Hillcrest Park Dr
Medford, OR 97504-7657
Phone (541) 890-5217

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN9426153FLMDPsychiatric/Mental Health Nurse Practitioner
225488LAMDPsychiatric/Mental Health Nurse Practitioner
F403990NYMDPsychiatric/Mental Health Nurse Practitioner
202201064-NP-PPORMDPsychiatric/Mental Health Nurse Practitioner
27265ASCMDPsychiatric/Mental Health Nurse Practitioner
1049562TXMDPsychiatric/Mental Health Nurse Practitioner
0024180854VAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Onepeak Southern Oregon PC CurrentSince Jun 21, 2023 Accepting new patients
Sma Healthcare Inc CurrentSince Jul 6, 2021 Accepting new patients
Sma Healthcare, Inc CurrentSince Jul 6, 2021 Accepting new patients

Locations

301 Justice Ln
Bunnell, FL 32110
Phone (386) 236-1726

150 Magnolia Ave
Daytona Beach, FL 32114
Phone (386) 236-3215

1220 Willis Ave
Daytona Beach, FL 32114
Phone (386) 236-3200

5664 SW 60th Ave
Ocala, FL 34474
Phone (352) 291-5555

3265 Hillcrest Park Dr
Medford, OR 97504
Phone (541) 275-6655

Interoperability endpoints

  • Direct secure messaging: candace.kalipersad.p1@direct.opm.nextgenshare.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1509408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683504000000",
    "number": "1669984605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1016 SE 116TH PLACE RD",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344806539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1016 SE 116TH PLACE RD",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344806539",
            "telephone_number": "954-376-0114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALIPERSAD",
        "first_name": "CANDICE",
        "middle_name": "M.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-31",
        "last_updated": "2023-05-08",
        "certification_date": "2023-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F403990",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024180854",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1049562",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "202201064-NP-PP",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "LA",
            "license": "225488",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "SC",
            "license": "27265A",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN9426153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

Verify at the official NPI Registry.