Individual provider Active NPI

Candice Slizewski, RN

  • Psychiatric/Mental Health Nurse Practitioner
  • White Cloud, MI
National Provider Identifier
1710540372
Registry record updated Jun 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
4704303353NSA230AM Issued in MI
Practice address
1049 E Newell St
White Cloud, MI 49349-8795
Phone
(231) 689-7330
Fax
(231) 689-7345
NPI assigned
Apr 19, 2019
Last updated
Jun 4, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 4704303553 MI
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 4704303353NSA230AM MI Primary

Addresses

Primary practice location

1049 E Newell St
White Cloud, MI 49349-8795

Mailing address

1049 E Newell St
White Cloud, MI 49349-8795
Phone (231) 689-7330

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cslizewski@newaygocmh.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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 1

Enrollment IDStateProvider typePAC IDDetails
I20230630000381 MI Practitioner - Nurse Practitioner 6709245277 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Downriver Mental Health Clinic PCGroup PAC ID 7911995139, 289 clinicians

Practice addresses (Care Compare)

3950 Sparks Dr SE
Suite 103
Grand Rapids, MI 49546-6159
Phone (517) 882-3732

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704303553MIMDRegistered Nurse
4704303353NSA230AMMIMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Downriver Mental Health Clinic PC CurrentSince Jun 15, 2023 Accepting new patients
Downriver Mental Health Clinic PC CurrentSince Jun 15, 2023 Accepting new patients

Locations

2251 N Squirrel Rd
Ste 315
Auburn Hills, MI 48326

1400 Abbot Rd
Ste 400
East Lansing, MI 48823
Phone (810) 220-2787

3950 Sparks Dr SE
Ste 103
Grand Rapids, MI 49546
Phone (616) 455-5000

20500 Eureka Rd
Ste 200
Taylor, MI 48180
Phone (734) 283-0500

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.candiceslizewski@150339.advancedmd-direct.com

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1555632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685836800000",
    "number": "1710540372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1049 E NEWELL ST",
            "city": "WHITE CLOUD",
            "state": "MI",
            "postal_code": "493498795",
            "telephone_number": "231-689-7330",
            "fax_number": "231-689-7345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1049 E NEWELL ST",
            "city": "WHITE CLOUD",
            "state": "MI",
            "postal_code": "493498795",
            "telephone_number": "231-689-7330",
            "fax_number": "231-689-7345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLIZEWSKI",
        "first_name": "CANDICE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-19",
        "last_updated": "2023-06-04",
        "certification_date": "2023-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704303553",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MI",
            "license": "4704303353NSA230AM",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cslizewski@newaygocmh.org",
            "affiliation": "N",
            "endpointDescription": "e-mail",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1049 E Newell St",
            "city": "White Cloud",
            "state": "MI",
            "country_code": "US",
            "postal_code": "493498795",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in White Cloud, MI

Sources for this page

Verify at the official NPI Registry.