Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1386083046 Individual Practitioner Female Practitioner

Candice Lynne Vitale , NP

Nurse Practitioner • Clinton Twp, MI

Professional Overview & Biography Verified Profile Summary

Candice Vitale, NP is a registered healthcare professional specializing in Nurse Practitioner in Clinton Twp, MI. Practice services are available at 43475 DALCOMA DRIVE under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

43475 Dalcoma Drive
Ste 150

Clinton Twp, MI 48038

Telephone 8777843667
Fax 2488693982
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Clinton Twp, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.2 Yrs
State Avg: 10.8 Yrs
Regional Practice Density
12 Specialists

Practicing in Clinton Twp, MI (3626 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
62.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2017)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
13 11 $92.00 $34.61

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License MI 4704277903

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

34 Associated Practitioners
Dr. Lisa Metler , PhD

Clinical Neuropsychologist

NPI 1013904796

Doctor of Philosophy (Ph.D.)

Dr. Sophia Grias-Radwanski , MD

Physical Medicine & Rehabilitation

NPI 1023004728

Doctor of Medicine (M.D.)

Olga Klahm , PA-C

Physician Assistant

NPI 1033441548

Physician Assistant (Certified)

Dr. Jeffrey Jacob , MD

Neurological Surgery

NPI 1073715686

Doctor of Medicine (M.D.)

Dr. John Marshall , MD

Physical Medicine & Rehabilitation

NPI 1174515381

Doctor of Medicine (M.D.)

Dr. Alison Lee , MD

Acupuncturist

NPI 1174843536

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

15 Historical Events
📍
Updated Practice Location May 03, 2018

Registered at 43475 DALCOMA DRIVE, STE 150, CLINTON TWP, MI 48038 (Tel: 8777843667)

📍
Updated Business Mailing Address May 03, 2018

Registered at 29275 NORTHWESTERN HWY, STE 100, SOUTHFIELD, MI 48034 (Tel: 8777843667)

👤
Provider Name / Credentials Updated May 03, 2018

Recorded as CANDICE VITALE, NP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 03, 2018

Nurse Practitioner (License #4704277903 in MI)

NPI Profile Active February 16, 2017

NPI status registered as active in NPPES database

📍
Updated Business Mailing Address February 16, 2017

Registered at 3926 NEW VISION DR, BLDG H, FORT WAYNE, IN 468451712 (Tel: 2602668213)

📍
Updated Practice Location February 16, 2017

Registered at 43475 DALCOMA DR, CLINTON TWP, MI 480383591 (Tel: 8777843667)

👤
Provider Name / Credentials Updated February 16, 2017

Recorded as CANDICE NICHOLS, NP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 16, 2017

Nurse Practitioner (License #71006612 in IN)

NPI Profile Active June 17, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location June 17, 2013

Registered at 43475 DALCOMA DR, CLINTON TWP, MI 480383591 (Tel: 8777843667)

📍
Updated Business Mailing Address June 17, 2013

Registered at 53413 ELYSIA DR, CHESTERFIELD, MI 480511769

👤
Provider Name / Credentials Updated June 17, 2013

Recorded as CANDICE NICHOLS, NP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 17, 2013

Nurse Practitioner (License #4704277903 in MI)

🟢
Initial NPI Registration & Enumeration June 17, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1386083046
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 17, 2013
Last Update: May 03, 2018
Sole Proprietor: No

Mailing Address

29275 Northwestern Hwy, Ste 100

Southfield, MI 48034

Phone: 8777843667

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.