CANDICE MARBACH PA
NPI 1902439458
Physician Assistant in Smyrna, TN

Active since February 12, 2020PECOS EnrolledAccepts Medicare Assignment
985 INDUSTRIAL BLVD, SMYRNA, TN 37167(908) 500-5173 Get Directions Write a Review

NPPES record last updated: July 25, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 25, 2022, Feb 12, 2020 (2 updates tracked since 2020).

About Candice Marbach Pa NPPES

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

CANDICE MARBACH PA (NPI 1902439458) is an individual physician assistant in Smyrna, Tennessee and active in the NPI registry since February 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Milwaukee, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1902439458
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameCANDICE MARBACHCredential: PA
Location Address985 INDUSTRIAL BLVDSmyrna, TN 37167-6815
Mailing Address985 Industrial BlvdSmyrna, TN 37167-6815 · (908) 500-5173
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateFebruary 12, 2020
Last NPPES UpdateJuly 25, 20222 updates tracked since enumeration
NPPES CertifiedJuly 25, 2022
NPI 1902439458 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

985 INDUSTRIAL BLVD, Smyrna, TN 37167

Secondary Practice Location 1

Location 11141 N Old World 3rd St Apt 2208Milwaukee, WI 53203-1139 · Phone (908) 500-5173

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

Candice Marbach Pa 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 ID446634539
PECOS Enrollment IDI20220909000508
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.

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.
19 services19 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.
17 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37167 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
Most-billed visit code 99213
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 3

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

General Practice
985 INDUSTRIAL BLVD
SMYRNA, TN 37167
Family Medicine
985 INDUSTRIAL BLVD
SMYRNA, TN 37167
Physician Assistant
985 INDUSTRIAL BLVD
SMYRNA, TN 37167

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 Candice Marbach's NPI number?

The NPI number for Candice Marbach is 1902439458. It was assigned to this individual provider in the NPPES registry on February 12, 2020.

Where is Candice Marbach located?

Candice Marbach practices at 985 Industrial Blvd, Smyrna, TN 37167. The listed phone number is (908) 500-5173.

What is Candice Marbach's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Candice Marbach enrolled in Medicare?

Yes. Candice Marbach 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 Candice Marbach accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 3 other insurers list Candice Marbach 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 Candice Marbach was last updated on July 25, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.