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CANDACE TICKLE
NPI 1366059347
Nurse Practitioner - Family in Lake Oswego, OR

Active since September 24, 2020PECOS EnrolledAccepts Medicare Assignment
16463 BOONES FERRY RD STE 300, LAKE OSWEGO, OR 97035(503) 658-9351(541) 708-5934 Get Directions Write a Review

NPPES record last updated: February 11, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Candace Tickle NPPES

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

CANDACE TICKLE (NPI 1366059347) is an individual family provider in Lake Oswego, Oregon, licensed in Oregon (10042487) and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1366059347
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCANDACE TICKLE
Location Address16463 BOONES FERRY RD STE 300Lake Oswego, OR 97035-4376
Mailing Address16463 Boones Ferry Rd Ste 300Lake Oswego, OR 97035-4376 · (503) 658-9351 · Fax (541) 708-5934
Phone(503) 658-9351
Fax(541) 708-5934
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateSeptember 24, 2020
Last NPPES UpdateFebruary 11, 2026
NPPES CertifiedFebruary 11, 2026
✔ NPI 1366059347 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in OR · 10042487
16463 BOONES FERRY RD STE 300, Lake Oswego, OR 97035
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Regence BlueCross BlueShield of Oregon.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 Tickle 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 ID749704872
PECOS Enrollment IDI20250409003743
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 97035 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
$90.51 typical visit price
range $58.99 – $176.88
Typical copayment $22.62 (range $14.74 – $44.22)
Most-billed visit code 99203
Established Patient
$103.51 typical visit price
range $19.32 – $144.79
Typical copayment $25.87 (range $4.83 – $36.19)
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 4

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

DANIEL ALEXANDER ANANYEV D.O.
Family Medicine
16463 BOONES FERRY RD STE 300
LAKE OSWEGO, OR 97035
Clackamas County (503) 658-9351
LILIAN RENATA BORNIO CARRILLO
Physician Assistant
16463 BOONES FERRY RD STE 300
LAKE OSWEGO, OR 97035
Clackamas County (503) 658-9351
VALAREE RUTH LEHRMAN FNP-C
Nurse Practitioner (Family)
16463 BOONES FERRY RD STE 300
LAKE OSWEGO, OR 97035
Clackamas County (503) 658-9351
KARLY GLENN
Physician Assistant (Medical)
16463 BOONES FERRY RD STE 300
LAKE OSWEGO, OR 97035
Clackamas County (503) 658-9351

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 Tickle's NPI number?

The NPI number for Candace Tickle is 1366059347. It was assigned to this individual provider in the NPPES registry on September 24, 2020.

Where is Candace Tickle located?

Candace Tickle practices at 16463 Boones Ferry Rd Ste 300, Lake Oswego, OR 97035. The listed phone number is (503) 658-9351.

What is Candace Tickle's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Candace Tickle enrolled in Medicare?

Yes. Candace Tickle 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 Tickle accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc. and Regence BlueCross BlueShield of Oregon list Candace Tickle 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.

When was this NPI record last updated?

The NPPES record for Candace Tickle was last updated on February 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.