CANDICE DAWN FALLS ARNP
NPI 1144424771
Nurse Practitioner - Acute Care in Lexington, KY

Active since June 14, 2007PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
UK DIVISION OF CARDIOLOGY, 900 S. LIMESTONE ST., CTW320, LEXINGTON, KY 40536(859) 323-3976(859) 257-6060 Get Directions Write a Review

NPPES record last updated: May 29, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Candice Dawn Falls Arnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CANDICE DAWN FALLS ARNP (NPI 1144424771) is an individual acute care provider in Lexington, Kentucky, licensed in Kentucky (3005105) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS, is affiliated with University Of Kentucky Hospital, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1144424771
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameCANDICE DAWN FALLSCredential: ARNP
Location AddressUK DIVISION OF CARDIOLOGY, 900 S. LIMESTONE ST., CTW320Lexington, KY 40536-0200
Mailing AddressUk Division Of Cardiology, 900 S. Limestone St., Ctw320Lexington, KY 40536-0200 · Fax (859) 257-6060
Fax(859) 257-6060
Sole ProprietorYes
Medical School CMSOtherGraduated 2006
Enumeration DateJune 14, 2007
Last NPPES UpdateMay 29, 2014
NPI 1144424771 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
Licenses Licensed in KY · 3005105 Licensed in KY · 5105P
Also ListedNurse PractitionerTaxonomy 363L00000X · License 5105P (KY)
UK DIVISION OF CARDIOLOGY, Lexington, KY 40536

Other Names 1

Former Name (1)Candice Dawn Harvey Arnp

Other Identifiers 3

Other000000667607KY · Anthem
Medicaid7100020930KY
Medicare PIN0527431KY

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Candice Dawn Falls Arnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8527154558
PECOS Enrollment IDI20071022000447
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
54 services26 patients
Evaluation of lower heart chamber assist device 93750
An evaluation of a lower heart chamber assist device is a procedure to check the function of an implanted device aiding your heart's lower chambers. This helps ensure optimal heart function by monitoring the device's performance and your heart's response to it.
52 services18 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
14 services13 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

University Of Kentucky Hospital

Acute Care Hospitals · Lexington, KY
3/5 CMS rating
OwnershipGovernment - State
CMS Certification Number180067
Location800 Rose StreetLexington, KY 40536 · Fayette County
Emergency services Birthing friendly

Norton Hospitals, Inc

Acute Care Hospitals · Louisville, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180088
Location200 East Chestnut StreetLouisville, KY 40202 · Jefferson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40536 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
UK DIVISION OF CARDIOLOGY, 900 S. LIMESTONE, CTW320
LEXINGTON, KY 40536
Internal Medicine (Cardiovascular Disease)
UK DIVISION OF CARDIOLOGY, GILL HEART INSTITUTE, 800 ROSE STREET
LEXINGTON, KY 40536
Nurse Practitioner (Family)
UK DIVISION OF CARDIOLOGY, 800 ROSE STREET
LEXINGTON, KY 40536
Nurse Practitioner (Family)
UK DIVISION OF CARDIOLOGY
LEXINGTON, KY 40536

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 Falls's NPI number?

The NPI number for Candice Falls is 1144424771. It was assigned to this individual provider in the NPPES registry on June 14, 2007. The provider is also known as Candice Dawn Harvey Arnp.

Where is Candice Falls located?

Candice Falls practices at Uk Division Of Cardiology 900 S. Limestone St., Ctw320, Lexington, KY 40536. The listed phone number is (859) 323-3976.

What is Candice Falls's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Candice Falls enrolled in Medicare?

Yes. Candice Falls is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Candice Falls accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list Candice Falls 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.

Is Candice Falls affiliated with any hospitals?

According to CMS data, Candice Falls is affiliated with University Of Kentucky Hospital and Norton Hospitals, Inc.

When was this NPI record last updated?

The NPPES record for Candice Falls was last updated on May 29, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.