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CANDACE NICOLE WALLIS
NPI 1215691597
Social Worker - Clinical in Coos Bay, OR

Active since October 24, 2021PECOS EnrolledAccepts Medicare Assignment
125 CENTRAL AVE STE 290, COOS BAY, OR 97420(541) 267-2113 Get Directions Write a Review

NPPES record last updated: October 24, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Candace Nicole Wallis NPPES

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

CANDACE NICOLE WALLIS (NPI 1215691597) is an individual clinical provider in Coos Bay, Oregon, licensed in Florida (15085) and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1215691597
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameCANDACE NICOLE WALLIS
Location Address125 CENTRAL AVE STE 290Coos Bay, OR 97420-2342
Mailing Address1600 Woodland DrCoos Bay, OR 97420-2044 · (727) 692-7373
Phone(541) 267-2113
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateOctober 24, 2021
NPPES CertifiedOctober 24, 2021
✔ NPI 1215691597 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in FL · 15085
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
125 CENTRAL AVE STE 290, Coos Bay, OR 97420
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Other Names 1

Former Name (1)Candace Nicole Rieger Msw

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 Nicole Wallis 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 ID4789185083
PECOS Enrollment IDI20250828003537
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 97420 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
$0.00 typical visit price
range $54.96 – $166.64
Typical copayment $0.00 (range $13.74 – $41.66)
Most-billed visit code NA
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.

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 Candace Wallis's NPI number?

The NPI number for Candace Wallis is 1215691597. It was assigned to this individual provider in the NPPES registry on October 24, 2021. The provider is also known as Candace Nicole Rieger Msw.

Where is Candace Wallis located?

Candace Wallis practices at 125 Central Ave Ste 290, Coos Bay, OR 97420. The listed phone number is (541) 267-2113.

What is Candace Wallis's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Candace Wallis enrolled in Medicare?

Yes. Candace Wallis 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.

When was this NPI record last updated?

The NPPES record for Candace Wallis was last updated on October 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.