CANDACE JILL WISE D.O.
NPI 1245678242
Family Medicine in Front Royal, VA

Active since June 12, 2013PECOS EnrolledAccepts Medicare Assignment
351 VALLEY HEALTH WAY # 300, FRONT ROYAL, VA 22630(540) 631-3700 Get Directions Write a Review

NPPES record last updated: May 1, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 1, 2023, Sep 8, 2021, Sep 18, 2018 (3 updates tracked since 2018).

About Candace Jill Wise D.o. NPPES

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

CANDACE JILL WISE D.O. (NPI 1245678242) is an individual family medicine provider in Front Royal, Virginia, licensed in Virginia (0102204074) and active in the NPI registry since June 2013. She is enrolled in Medicare PECOS, is affiliated with Winchester Medical Center, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1245678242
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameCANDACE JILL WISECredential: D.O.
Location Address351 VALLEY HEALTH WAY # 300Front Royal, VA 22630-6480
Mailing Address2000 Health Park Dr Fl Hp2Brentwood, TN 37027-4525 · (615) 373-7600
Sole ProprietorNo
Medical School CMSWest Virginia School Of Osteopathic MedicineGraduated 2013
Enumeration DateJune 12, 2013
Last NPPES UpdateMay 1, 20233 updates tracked since enumeration
NPPES CertifiedMay 1, 2023
NPI 1245678242 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in VA · 0102204074
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
351 VALLEY HEALTH WAY # 300, Front Royal, VA 22630

Secondary Practice Locations 3

Location 15231 John Tyler HwyWilliamsburg, VA 23185-2553 · Phone (757) 220-8300 · Fax (757) 565-5338
Location 23700 S Main St Ste 1ABlacksburg, VA 24060 · Phone (540) 443-3700 · Fax (540) 444-3725
Location 31840 Amherst StWinchester, VA 22601-2808 · Phone (540) 536-8000

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

Candace Jill Wise D.o. 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 ID5698085777
PECOS Enrollment IDI20151102000368
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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
25 services22 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
18 services18 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
16 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Winchester Medical Center

Acute Care Hospitals · Winchester, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490005
Location1840 Amherst StWinchester, VA 22601 · Winchester City County
Emergency services Birthing friendly

Warren Memorial Hospital

Acute Care Hospitals · Front Royal, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490033
Location351 Valley Health WayFront Royal, VA 22630 · Warren County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22630 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier11 claims11 services$24.87 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 8

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

Family Medicine
351 VALLEY HEALTH WAY # 300
FRONT ROYAL, VA 22630
Nurse Practitioner (Family)
351 VALLEY HEALTH WAY # 300
FRONT ROYAL, VA 22630
Family Medicine
351 VALLEY HEALTH WAY # 300
FRONT ROYAL, VA 22630
Family Medicine
351 VALLEY HEALTH WAY # 300
FRONT ROYAL, VA 22630
Family Medicine
351 VALLEY HEALTH WAY # 300
FRONT ROYAL, VA 22630
Nurse Practitioner (Family)
351 VALLEY HEALTH WAY # 300
FRONT ROYAL, VA 22630
Family Medicine
351 VALLEY HEALTH WAY # 300
FRONT ROYAL, VA 22630
Family Medicine
351 VALLEY HEALTH WAY # 300
FRONT ROYAL, VA 22630

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 Wise's NPI number?

The NPI number for Candace Wise is 1245678242. It was assigned to this individual provider in the NPPES registry on June 12, 2013.

Where is Candace Wise located?

Candace Wise practices at 351 Valley Health Way # 300, Front Royal, VA 22630. The listed phone number is (540) 631-3700.

What is Candace Wise's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Candace Wise enrolled in Medicare?

Yes. Candace Wise 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 Candace Wise accept?

Health plans from CareSource list Candace Wise 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 Candace Wise affiliated with any hospitals?

According to CMS data, Candace Wise is affiliated with Winchester Medical Center and Warren Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Candace Wise was last updated on May 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.