CANDACE BERLYNN PATEL FNP-BC
NPI 1700151362
Nurse Practitioner - Primary Care in Flagstaff, AZ

Active since March 15, 2012PECOS EnrolledAccepts Medicare Assignment
70.58/100
CMS Quality Rating
2001 N 4TH ST, FLAGSTAFF, AZ 86004(928) 527-4325 Get Directions Write a Review

NPPES record last updated: August 13, 2020. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 13, 2020, Dec 12, 2019 (2 updates tracked since 2019).

About Candace Berlynn Patel Fnp-bc NPPES

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

CANDACE BERLYNN PATEL FNP-BC (NPI 1700151362) is an individual primary care provider in Flagstaff, Arizona, licensed in Arizona (244439) and active in the NPI registry since March 2012. She is enrolled in Medicare PECOS, maintains a secondary practice location in Gallup, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1700151362
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameCANDACE BERLYNN PATELCredential: FNP-BC
Location Address2001 N 4TH STFlagstaff, AZ 86004-4227
Mailing Address2001 N 4th StFlagstaff, AZ 86004-4227 · (928) 527-4325
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMarch 15, 2012
Last NPPES UpdateAugust 13, 20202 updates tracked since enumeration
NPPES CertifiedAugust 13, 2020
NPI 1700151362 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License Licensed in AZ · 244439
Also ListedRegistered NurseTaxonomy 163W00000X · License RN172192 (AZ)
Also ListedNurse Practitioner · Women's HealthTaxonomy 363LW0102X · License 56144 (NM)
2001 N 4TH ST, Flagstaff, AZ 86004

Secondary Practice Location 1

Location 1516 E Nizhoni BlvdGallup, NM 87301-5748 · Phone (505) 722-1000 · Fax (505) 722-1310

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 Berlynn Patel Fnp-bc 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 ID4880029594
PECOS Enrollment IDI20200127000250
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 2

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
78 services64 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
33 services27 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 86004 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

70.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality39.68
Promoting Interoperability79
Improvement Activities40
Cost63.1

Other Providers at the Same Location NPPES 9

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

Nurse Practitioner (Family)
2001 N 4TH ST
FLAGSTAFF, AZ 86004
Physician Assistant
2001 N 4TH ST
FLAGSTAFF, AZ 86004
Nurse Practitioner
2001 N 4TH ST
FLAGSTAFF, AZ 86004
Chiropractor
2001 N 4TH ST
FLAGSTAFF, AZ 86004
Chiropractor (Orthopedic)
2001 N 4TH ST
FLAGSTAFF, AZ 86004
Clinic/Center (Multi-Specialty)
2001 N 4TH ST
FLAGSTAFF, AZ 86004
Family Medicine
2001 N 4TH ST
FLAGSTAFF, AZ 86004
Family Medicine
2001 N 4TH ST
FLAGSTAFF, AZ 86004

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 Patel's NPI number?

The NPI number for Candace Patel is 1700151362. It was assigned to this individual provider in the NPPES registry on March 15, 2012.

Where is Candace Patel located?

Candace Patel practices at 2001 N 4th St, Flagstaff, AZ 86004. The listed phone number is (928) 527-4325.

What is Candace Patel's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Candace Patel enrolled in Medicare?

Yes. Candace Patel 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 Patel accept?

Health plans from Blue Cross Blue Shield of Arizona list Candace Patel 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 Patel was last updated on August 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.