CANDACE NYSTED PA-C
NPI 1164996922
Physician Assistant in Medford, OR

Q: What is Candace Nysted's NPI number?

The NPI number for Candace Nysted is 1164996922. It was assigned to this individual provider in the NPPES registry on January 15, 2019.

Q: What is Candace Nysted's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Candace Nysted was last updated on March 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.

Active since January 15, 2019PECOS EnrolledAccepts Medicare Assignment

2780 E BARNETT RD STE 200, MEDFORD, OR 97504(541) 779-6250(541) 608-2470 Get Directions Write a Review

NPPES record last updated: March 17, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 17, 2026, Sep 6, 2022, Jan 15, 2019 (3 updates tracked since 2019).

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About Candace Nysted Pa-c NPPES

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

CANDACE NYSTED PA-C (NPI 1164996922) is an individual physician assistant in Medford, Oregon, licensed in Oregon (9280) and active in the NPI registry since January 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Lake Havasu City, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1164996922

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameCANDACE NYSTEDCredential: PA-C

Location Address2780 E BARNETT RD STE 200Medford, OR 97504-8674

Mailing Address2780 E Barnett Rd Ste 200Medford, OR 97504-8674 · (541) 779-6250 · Fax (541) 608-2470

Phone(541) 779-6250

Fax(541) 608-2470

Sole ProprietorYes

Medical School CMSOtherGraduated 2022

Enumeration DateJanuary 15, 2019

Last NPPES UpdateMarch 17, 20263 updates tracked since enumeration

NPPES CertifiedMarch 17, 2026

✔ NPI 1164996922 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in OR · 9280

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

2780 E BARNETT RD STE 200, Medford, OR 97504

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Secondary Practice Location 1

Location 1309 Lake Havasu Ave SLake Havasu City, AZ 86403-9309 · Phone (928) 453-1970 · Fax (833) 450-5461

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, UnitedHealthcare.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

Candace Nysted Pa-c 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 ID244600690

PECOS Enrollment IDI20241029000688

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97504 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

$84.82 typical visit price

range $54.96 – $166.64

Typical copayment $21.20 (range $13.74 – $41.66)

Most-billed visit code 99203

Established Patient

$68.64 typical visit price

range $17.68 – $136.19

Typical copayment $17.16 (range $4.42 – $34.04)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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Other Providers at the Same Location NPPES 20

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

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