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CANDACE ESTHER NALL
NPI 1285945436
Emergency Medicine in O Fallon, IL

Active since June 22, 2010PECOS EnrolledAccepts Medicare Assignment
320 E HIGHWAY 50, O FALLON, IL 62269(618) 624-3368 Get Directions Write a Review

NPPES record last updated: June 10, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Candace Esther Nall NPPES

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

CANDACE ESTHER NALL (NPI 1285945436) is an individual emergency medicine provider in O Fallon, Illinois, licensed in Missouri (2010017365) and active in the NPI registry since June 2010. She is enrolled in Medicare PECOS, is affiliated with Marion General Hospital, and is a graduate of Saint Louis University School Of Medicine (2005).

NPPES Registry Identity

NPI1285945436
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameCANDACE ESTHER NALL
Location Address320 E HIGHWAY 50O Fallon, IL 62269-2704
Mailing Address320 E Highway 50O Fallon, IL 62269-2704 · (618) 624-3368
Phone(618) 624-3368
Sole ProprietorNo
Medical School CMSSaint Louis University School Of MedicineGraduated 2005
Enumeration DateJune 22, 2010
Last NPPES UpdateJune 10, 2014
✔ NPI 1285945436 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in MO · 2010017365
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
320 E HIGHWAY 50, O Fallon, IL 62269
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.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 Esther Nall 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 ID9739321332
PECOS Enrollment IDI20260303002420
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 4

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
105 services103 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
43 services40 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
27 services27 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
15 services15 patients

Hospital Affiliations CMS Care Compare 4

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

Marion General Hospital

Acute Care Hospitals · Marion, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150011
Location441 N Wabash AveMarion, IN 46952 · Grant County
Emergency services Birthing friendly

Parkland Health Center

Acute Care Hospitals · Farmington, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260163
Location1101 W LibertyFarmington, MO 63640 · St. Francois County
Emergency services Birthing friendly

Lake Health

Acute Care Hospitals · Concord, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360098
Location7590 Auburn RoadConcord, OH 44077 · Lake County
Emergency services

Regional One Health

Acute Care Hospitals · Memphis, TN
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number440152
Location877 Jefferson AvenueMemphis, TN 38103 · Shelby County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62269 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
$88.44 typical visit price
range $56.28 – $173.35
Typical copayment $22.11 (range $14.07 – $43.33)
Most-billed visit code 99203
Established Patient
$99.71 typical visit price
range $17.51 – $139.99
Typical copayment $24.92 (range $4.37 – $34.99)
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.

Other Providers at the Same Location NPPES 12

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

SARAH JANE BRASHEAR FNP-C
Nurse Practitioner (Family)
320 E HIGHWAY 50
O FALLON, IL 62269
St. Clair County (888) 577-6337
DEREK PECHACEK FNP-C
Nurse Practitioner (Family)
320 E HIGHWAY 50
O FALLON, IL 62269
St. Clair County (618) 624-3368
VICKY HWANG MD
Emergency Medicine
320 E HIGHWAY 50
O FALLON, IL 62269
St. Clair County (618) 624-3368
DR. JAMES ROBERT LUNDY MD
Family Medicine
320 E HIGHWAY 50
O FALLON, IL 62269
St. Clair County (618) 624-3368
MRS. SUSAN GRACE DRABING FNP-BC
Nurse Practitioner (Family)
320 E HIGHWAY 50
O FALLON, IL 62269
St. Clair County (618) 624-3368
MIRANDA FRANCIS POGUE FNP-BC
Nurse Practitioner (Family)
320 E HIGHWAY 50
O FALLON, IL 62269
St. Clair County (618) 624-3368
MS. BENA LYN WEEKS FNP-C
Nurse Practitioner (Family)
320 E HIGHWAY 50
O FALLON, IL 62269
St. Clair County (618) 624-3368
BETHANY VAREL
Nurse Practitioner
320 E HIGHWAY 50
O FALLON, IL 62269
St. Clair County (618) 624-3368

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 Nall's NPI number?

The NPI number for Candace Nall is 1285945436. It was assigned to this individual provider in the NPPES registry on June 22, 2010.

Where is Candace Nall located?

Candace Nall practices at 320 E Highway 50, O Fallon, IL 62269. The listed phone number is (618) 624-3368.

What is Candace Nall's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Candace Nall enrolled in Medicare?

Yes. Candace Nall 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 Nall accept?

Health plans from Medica list Candace Nall 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 Nall affiliated with any hospitals?

According to CMS data, Candace Nall is affiliated with Marion General Hospital, Parkland Health Center, Lake Health and Regional One Health.

When was this NPI record last updated?

The NPPES record for Candace Nall was last updated on June 10, 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.