1. Home
  2. Directory
  3. Texas
  4. Smithville
  5. Nurse Practitioner
  6. NPI Profile

CANDACE CARREEN BURGOYNE RN, CPNP
NPI 1922231455
Nurse Practitioner - Pediatrics in Smithville, TX

Active since September 01, 2009PECOS Enrolled
1201A HILL RD, SMITHVILLE, TX 78957(512) 360-5272(512) 360-5273 Get Directions Write a Review

NPPES record last updated: February 15, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Candace Carreen Burgoyne Rn, Cpnp NPPES

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

CANDACE CARREEN BURGOYNE RN, CPNP (NPI 1922231455) is an individual pediatrics provider in Smithville, Texas, licensed in Texas (243170) and active in the NPI registry since September 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1922231455
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameCANDACE CARREEN BURGOYNECredential: RN, CPNP
Location Address1201A HILL RDSmithville, TX 78957-9533
Mailing Address1201a Hill RdSmithville, TX 78957-9533 · (512) 360-5272 · Fax (512) 360-5273
Phone(512) 360-5272
Fax(512) 360-5273
Sole ProprietorNo
Enumeration DateSeptember 1, 2009
Last NPPES UpdateFebruary 15, 2022
NPPES CertifiedFebruary 15, 2022
✔ NPI 1922231455 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in TX · 243170
1201A HILL RD, Smithville, TX 78957
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Candace Carreen Burgoyne Rn, Cpnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Candace Burgoyne reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ascension Seton
Same address
Rural Health
1201A HILL RD
Smithville, TX 78957
  • Reassigned Medicare billing, Texas enrollment
  • 101 clinicians in this Medicare group
NPI 1730695594 (512) 360-3698
Dell Children's Medical Group
40 mi
Pediatrics
1301 BARBARA JORDAN BLVD STE 200
Austin, TX 78723
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: Dell Childrens Medical Group
  • 576 clinicians in this Medicare group
NPI 1326072943 (512) 628-1800

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78957 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

Reported Quality Measures

Appropriate Treatment for Upper Respiratory Infection (URI)
97%36 patients4/55-star benchmark: 100%
Childhood Immunization Status
0%22 patients
Chlamydia Screening for Women
6%36 patients
Closing the Referral Loop: Receipt of Specialist Report
41%82 patients2/55-star benchmark: 87%
HIV Screening
3%76 patients1/55-star benchmark: 60%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
51%147 patients3/55-star benchmark: 97%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

LAURA LOUISE LEBLANC FNP-C
Nurse Practitioner (Family)
1201A HILL RD
SMITHVILLE, TX 78957
Bastrop County (512) 360-5272
ASCENSION SETON
Clinic/Center (Rural Health)
1201A HILL RD
SMITHVILLE, TX 78957
Bastrop County (512) 360-3698
SANDRA ALFARO LCSW-S
Social Worker (Clinical)
1201A HILL RD
SMITHVILLE, TX 78957
Bastrop County (512) 360-5272

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 Burgoyne's NPI number?

The NPI number for Candace Burgoyne is 1922231455. It was assigned to this individual provider in the NPPES registry on September 1, 2009.

Where is Candace Burgoyne located?

Candace Burgoyne practices at 1201A Hill Rd, Smithville, TX 78957. The listed phone number is (512) 360-5272.

What is Candace Burgoyne's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Candace Burgoyne enrolled in Medicare?

Yes. Candace Burgoyne is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Candace Burgoyne's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Candace Burgoyne reassigns Medicare benefits to 2 organizations: Ascension Seton (Smithville, TX) and Dell Children's Medical Group (Austin, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Candace Burgoyne's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Candace Burgoyne accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Candace Burgoyne 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 Burgoyne was last updated on February 15, 2022. 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.