Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

CANDACE N BENNER N.P.
NPI 1932268919
Nurse Practitioner - Family in Decatur, IL

Active since December 06, 2006PECOS EnrolledAccepts Medicare Assignment
67.18/100
CMS Quality Rating
101 W MCKINLEY AVE, DECATUR, IL 62526(217) 876-3682(217) 876-3345 Get Directions Write a Review

NPPES record last updated: September 29, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 29, 2026, Sep 14, 2020, Sep 11, 2020 (3 updates tracked since 2020).

About Candace N Benner N.p. NPPES

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

CANDACE N BENNER N.P. (NPI 1932268919) is an individual family provider in Decatur, Illinois, licensed in Illinois (209003332) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS, is affiliated with Decatur Memorial Hospital, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1932268919
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCANDACE N BENNERCredential: N.P.
Location Address101 W MCKINLEY AVEDecatur, IL 62526-3286
Mailing Address101 W Mckinley AveDecatur, IL 62526-3286
Fax(217) 876-3345
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateDecember 6, 2006
Last NPPES UpdateSeptember 29, 20263 updates tracked since enumeration
NPPES CertifiedSeptember 29, 2026
✔ NPI 1932268919 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 IL · 209003332
Also ListedNurse PractitionerTaxonomy 363L00000X · License 309001472 (IL)
101 W MCKINLEY AVE, Decatur, IL 62526

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Candace N Benner N.p. 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 ID9335118181
PECOS Enrollment IDI20040928001027
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 Reassignment

Medicare enrollment records show Candace Benner reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

General Acute Care Hospital
2300 N EDWARD ST, GSBLL
Decatur, IL 62526
  • Reassigned Medicare billing, Illinois enrollment
  • 166 clinicians in this Medicare group

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

Areas of Expertise CMS Part B claims 7

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.
740 services501 patients
Exam of ear using a microscope 92504
An exam of the ear using a microscope allows a detailed view of the ear structures. This non-invasive procedure helps identify issues such as infections, blockages, or ear damage. It's a safe, quick, and painless way to evaluate ear health.
323 services223 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.
160 services135 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.
130 services130 patients
Diagnostic exam of nasal passages using an endoscope 31231
A diagnostic exam of nasal passages using an endoscope is a non-invasive procedure. A small, flexible tube with a light and camera at the end, called an endoscope, is inserted into the nose. This allows the doctor to view the nasal passages and sinuses, helping to identify any issues.
93 services82 patients
Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
78 services71 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Decatur Memorial Hospital

Acute Care Hospitals · Decatur, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140135
Location2300 North Edward StreetDecatur, IL 62526 · Macon County
Emergency services Birthing friendly

St Marys Hospital

Acute Care Hospitals · Decatur, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140166
Location1800 E Lake Shore DrDecatur, IL 62521 · Macon County
Emergency services Birthing friendly

Pana Community Hospital

Critical Access Hospitals · Pana, IL
OwnershipVoluntary non-profit - Private
CMS Certification Number141341
Location101 E Ninth StreetPana, IL 62557 · Christian County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62526 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

67.18/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality63.86
Improvement Activities40
Cost56.87

Other Providers at the Same Location NPPES 14

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

Allergy & Immunology
101 W MCKINLEY AVE, ENTA ALLERGY, HEAD & NECK INSTITUTE
DECATUR, IL 62526
Hearing Aid Equipment
101 W MCKINLEY AVE, 101W MCKINLEY AVE
DECATUR, IL 62526
Audiologist
101 W MCKINLEY AVE
DECATUR, IL 62526
Nurse Practitioner (Family)
101 W MCKINLEY AVE
DECATUR, IL 62526
Allergy & Immunology (Allergy)
101 W MCKINLEY AVE
DECATUR, IL 62526
Otolaryngology
101 W MCKINLEY AVE, ENTA ALLERGY, HEAD & NECK INSTITUTE
DECATUR, IL 62526
Otolaryngology
101 W MCKINLEY AVE
DECATUR, IL 62526
Otolaryngology (Plastic Surgery within the Head & Neck)
101 W MCKINLEY AVE, ENTA ALLERGY, HEAD & NECK INSTITUTE
DECATUR, IL 62526

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 Benner's NPI number?

The NPI number for Candace Benner is 1932268919. It was assigned to this individual provider in the NPPES registry on December 6, 2006.

Where is Candace Benner located?

Candace Benner practices at 101 W Mckinley Ave, Decatur, IL 62526. The listed phone number is (217) 876-3682.

What is Candace Benner's specialty?

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

Is Candace Benner enrolled in Medicare?

Yes. Candace Benner 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.

Which organization bills Medicare for Candace Benner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Candace Benner reassigns Medicare benefits to Decatur Memorial Hospital (Decatur, IL). The 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 Benner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Candace Benner affiliated with any hospitals?

According to CMS data, Candace Benner is affiliated with Decatur Memorial Hospital, St Marys Hospital and Pana Community Hospital.

When was this NPI record last updated?

The NPPES record for Candace Benner was last updated on September 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 days 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.