CANDICE MARIE STONEMETZ NP
NPI 1164199451
Nurse Practitioner - Adult Health in Rochester, NY

Active since August 25, 2021PECOS EnrolledAccepts Medicare Assignment
95.19/100
CMS Quality Rating
222 ALEXANDER ST STE 5000, ROCHESTER, NY 14607(585) 922-8003(585) 922-8195 Get Directions Write a Review

NPPES record last updated: November 24, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 24, 2021, Nov 11, 2021, Aug 25, 2021 (3 updates tracked since 2021).

About Candice Marie Stonemetz Np NPPES

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

CANDICE MARIE STONEMETZ NP (NPI 1164199451) is an individual adult health provider in Rochester, New York, licensed in New York (310473) and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in Rochester, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1164199451
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameCANDICE MARIE STONEMETZCredential: NP
Location Address222 ALEXANDER ST STE 5000Rochester, NY 14607-4064
Mailing Address100 Kings Hwy SRochester, NY 14617-5504 · (585) 922-8003
Fax(585) 922-8195
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateAugust 25, 2021
Last NPPES UpdateNovember 24, 20213 updates tracked since enumeration
NPPES CertifiedNovember 11, 2021
✔ NPI 1164199451 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in NY · 310473
222 ALEXANDER ST STE 5000, Rochester, NY 14607

Secondary Practice Location 1

Location 11425 Portland Ave; Wilson BuildingRochester, NY 14621-3011 · Phone (585) 338-1400 · Fax (585) 339-9442

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Candice Marie Stonemetz Np 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 ID5395134159
PECOS Enrollment IDI20211116002824
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Candice Stonemetz reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
222 ALEXANDER ST
Rochester, NY 14607
  • Reassigned Medicare billing, New York enrollment
  • 2,285 clinicians in this Medicare group
Ophthalmology
2301 LAC DE VILLE BLVD
Rochester, NY 14618
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Western New York Medical Practice PC
  • 1,030 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

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 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.
23 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14607 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

95.19/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality70.62
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 5

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

Nurse Practitioner
222 ALEXANDER ST STE 5000
ROCHESTER, NY 14607
Social Worker (Clinical)
222 ALEXANDER ST STE 5000
ROCHESTER, NY 14607
Nurse Practitioner (Family)
222 ALEXANDER ST STE 5000
ROCHESTER, NY 14607
Family Medicine
222 ALEXANDER ST STE 5000
ROCHESTER, NY 14607
Social Worker
222 ALEXANDER ST STE 5000
ROCHESTER, NY 14607

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 Stonemetz's NPI number?

The NPI number for Candice Stonemetz is 1164199451. It was assigned to this individual provider in the NPPES registry on August 25, 2021.

Where is Candice Stonemetz located?

Candice Stonemetz practices at 222 Alexander St Ste 5000, Rochester, NY 14607. The listed phone number is (585) 922-8003.

What is Candice Stonemetz's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Candice Stonemetz enrolled in Medicare?

Yes. Candice Stonemetz 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.

Which organizations bill Medicare for Candice Stonemetz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Candice Stonemetz reassigns Medicare benefits to 2 organizations: Rochester General Hospital (Rochester, NY) and Western New York Medical Practice, P.C. (Rochester, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Candice Stonemetz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Candice Stonemetz was last updated on November 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.