Individual provider Active NPI

Candace Malinosky, DNP, APRN, FNP-C

  • Nurse Practitioner
  • Gainesville, FL
National Provider Identifier
1821509936
Registry record updated Mar 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN11000805 Issued in FL
Practice address
3140 Stadium Rd
Gainesville, FL 32611-0001
Phone
(523) 921-1613
NPI assigned
Oct 16, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 5, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN229872 GA
Family Nurse Practitioner 363LF0000X 5490 MN
Family Nurse Practitioner 363LF0000X APRN11000805 FL
Nurse Practitioner 363L00000X APRN11000805 FL Primary

Addresses

Primary practice location

3140 Stadium Rd
Gainesville, FL 32611-0001

Mailing address

2140 Stadium Rd
Gainesville, FL 32611-1932
Phone (352) 392-1161

Other identifiers 1

IdentifierTypeStateIssuer
104198900MedicaidFL

Other names 1

  • Candace Kuphal Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20191104002909 FL Practitioner - Nurse Practitioner 4183981632 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5490MNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Clinical Practice Association Inc CurrentSince Sep 17, 2019 Accepting new patients
Florida Clinical Practice Association Inc CurrentSince Sep 17, 2019 Accepting new patients

Locations

280 Fletcher Dr
Gainesville, FL 32611
Phone (352) 294-7384

2001 SW 13th St
Gainesville, FL 32608
Phone (352) 265-8990

1600 SW Archer Rd
Gainesville, FL 32610
Phone (352) 265-0077

2140 Stadium Rd
Gainesville, FL 32611
Phone (352) 273-3390

Interoperability endpoints

  • Direct secure messaging: ckuphal33779@direct.shands.ufl.edu

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1508112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741132800000",
    "number": "1821509936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2140 STADIUM RD",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326111932",
            "telephone_number": "352-392-1161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3140 STADIUM RD",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326110001",
            "telephone_number": "523-921-1613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALINOSKY",
        "first_name": "CANDACE",
        "credential": "DNP, APRN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-16",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN229872",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "5490",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11000805",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11000805",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104198900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CANDACE",
            "last_name": "KUPHAL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Gainesville, FL

Sources for this page

Verify at the official NPI Registry.