CANDACE ARNOLD CRNP
NPI 1881961365
Nurse Practitioner - Family in Birmingham, AL

Active since November 28, 2011PECOS EnrolledAccepts Medicare Assignment
75.17/100
CMS Quality Rating
1 INDEPENDENCE PLAZA, STE 900, BIRMINGHAM, AL 35209(205) 271-8000(205) 271-8050 Get Directions Write a Review

NPPES record last updated: December 9, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 9, 2021, Mar 29, 2018 (2 updates tracked since 2018).

About Candace Arnold Crnp NPPES

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

CANDACE ARNOLD CRNP (NPI 1881961365) is an individual family provider in Birmingham, Alabama, licensed in Alabama (1-103940) and active in the NPI registry since November 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1881961365
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCANDACE ARNOLDCredential: CRNP
Location Address1 INDEPENDENCE PLAZA, STE 900Birmingham, AL 35209-2643
Mailing Address1 Independence Plaza, Ste 900Birmingham, AL 35209-2643 · (205) 271-8000 · Fax (205) 271-8050
Fax(205) 271-8050
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateNovember 28, 2011
Last NPPES UpdateDecember 9, 20212 updates tracked since enumeration
NPPES CertifiedDecember 9, 2021
NPI 1881961365 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in AL · 1-103940
Also ListedNurse PractitionerTaxonomy 363L00000X · License 1-103940 (AL)
1 INDEPENDENCE PLAZA, Birmingham, AL 35209

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 Arnold Crnp 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 ID6305012303
PECOS Enrollment IDI20111221000624
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 6

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 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.
113 services86 patients
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.
60 services42 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
46 services46 patients
Complete ultrasound scan of abdomen 76700
A complete ultrasound scan of the abdomen is a non-invasive imaging procedure. It uses sound waves to produce images of the organs in your abdomen, such as the liver, gallbladder, spleen, pancreas, and kidneys. It helps in diagnosing, monitoring, and planning treatments.
37 services34 patients
Ultrasound scan of organ tissue for measuring elasticity 76981
An ultrasound scan of organ tissue measures elasticity, or flexibility. This non-invasive procedure uses sound waves to create images of the inside of your body. It helps in assessing the health of various organs by detecting changes in their stiffness or softness.
18 services16 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35209 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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.

75.17/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.87
Promoting Interoperability93
Improvement Activities40
Cost54.19

Other Providers at the Same Location NPPES 20

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

Internal Medicine (Gastroenterology)
1 INDEPENDENCE PLAZA, SUITE 900
BIRMINGHAM, AL 35209
Nurse Anesthetist, Certified Registered
1 INDEPENDENCE PLAZA, SUITE 900
BIRMINGHAM, AL 35209
Physician Assistant
1 INDEPENDENCE PLAZA, SUITE 900
BIRMINGHAM, AL 35209
Internal Medicine (Gastroenterology)
1 INDEPENDENCE PLAZA, SUITE 900
BIRMINGHAM, AL 35209
Nurse Anesthetist, Certified Registered
1 INDEPENDENCE PLAZA, STE 900
BIRMINGHAM, AL 35209
Nurse Practitioner
1 INDEPENDENCE PLAZA, STE 900
BIRMINGHAM, AL 35209
Internal Medicine (Gastroenterology)
1 INDEPENDENCE PLAZA, SUITE 900
BIRMINGHAM, AL 35209
Pharmacy (Community/Retail Pharmacy)
1 INDEPENDENCE PLAZA, SUITE 900A
HOMEWOOD, AL 35209

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 Arnold's NPI number?

The NPI number for Candace Arnold is 1881961365. It was assigned to this individual provider in the NPPES registry on November 28, 2011.

Where is Candace Arnold located?

Candace Arnold practices at 1 Independence Plaza Ste 900, Birmingham, AL 35209. The listed phone number is (205) 271-8000.

What is Candace Arnold's specialty?

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

Is Candace Arnold enrolled in Medicare?

Yes. Candace Arnold 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 Arnold accept?

Health plans from Ambetter Health, Ambetter from Magnolia Health, Ambetter of Alabama, Ambetter of Tennessee and Blue Cross and Blue Shield of Alabama and 1 other insurer list Candace Arnold 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 Arnold was last updated on December 9, 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.