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CANDICE RIGGLEMAN APRN
NPI 1972951259
Nurse Practitioner in Morgantown, WV

Active since May 27, 2016PECOS EnrolledAccepts Medicare Assignment
94.1/100
CMS Quality Rating
1 MEDICAL CENTER DRIVE, MORGANTOWN, WV 26506(304) 598-4800 Get Directions Write a Review

NPPES record last updated: May 27, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Candice Riggleman Aprn NPPES

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

CANDICE RIGGLEMAN APRN (NPI 1972951259) is an individual nurse practitioner in Morgantown, West Virginia, licensed in West Virginia (81109) and active in the NPI registry since May 2016. She is enrolled in Medicare PECOS, is affiliated with West Virginia University Hospitals, Inc, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1972951259
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameCANDICE RIGGLEMANCredential: APRN
Location Address1 MEDICAL CENTER DRIVEMorgantown, WV 26506
Mailing Address1 Medical Center DriveMorgantown, WV 26506 · (304) 598-4800
Phone(304) 598-4800
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateMay 27, 2016
✔ NPI 1972951259 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in WV · 81109
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
1 MEDICAL CENTER DRIVE, Morgantown, WV 26506
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Highmark Blue Cross Blue Shield West Virginia.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 Riggleman Aprn 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 ID345533147
PECOS Enrollment IDI20160801000127
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 5

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.

Dialysis services, per day, less than full month service (20 years or older) 90970
Dialysis is a treatment that replicates some functions of healthy kidneys when they're not working properly. It helps to remove waste, salt, and excess water from your body and maintain a safe level of certain chemicals in your blood. This service, for patients aged 20 or older, is provided on a daily basis for less than a full month.
115 services15 patients
Hemodialysis procedure with physician evaluation 90935
Hemodialysis is a treatment that uses a machine to filter waste and excess fluid from your blood when your kidneys can't. A physician checks your health before, during, and after the procedure to ensure it's working effectively for you.
59 services21 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.
34 services20 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
30 services19 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
25 services23 patients

Hospital Affiliations CMS Care Compare

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

West Virginia University Hospitals, Inc

Acute Care Hospitals · Morgantown, WV
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510001
Location1 Medical Center DriveMorgantown, WV 26506 · Monongalia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 26506 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
$83.49 typical visit price
range $53.20 – $164.59
Typical copayment $20.87 (range $13.30 – $41.14)
Most-billed visit code 99203
Established Patient
$94.81 typical visit price
range $16.47 – $133.29
Typical copayment $23.70 (range $4.11 – $33.32)
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.

94.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.46
Promoting Interoperability100
Improvement Activities40

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.

DR. DORIAN J WILLIAMS M.D.
Family Medicine
1 MEDICAL CENTER DRIVE
MORGANTOWN, WV 26506
Monongalia County (304) 598-6900
MEGHAN METCALFE PT
Physical Therapist
1 MEDICAL CENTER DRIVE
MORGANTOWN, WV 26506
Monongalia County (304) 598-4118
MRS. HOLLY BETH HARTMAN-ADAMS M.D.
Family Medicine
1 MEDICAL CENTER DRIVE
MORGANTOWN, WV 26506
Monongalia County (304) 598-6900
DR. SWAPNA GAYAM M.D
Internal Medicine (Gastroenterology)
1 MEDICAL CENTER DRIVE
MORGANTOWN, WV 26506
Monongalia County (304) 293-4123
DR. JAMES ROBERT WELTY M.D.
Hospitalist
1 MEDICAL CENTER DRIVE
MORGANTOWN, WV 26506
Monongalia County (304) 598-4000
ANDREW VUCELIK MD
Emergency Medicine
1 MEDICAL CENTER DRIVE, ROOM 4601
MORGANTOWN, WV 26506
Monongalia County (304) 293-7215
RYAN CODDINGTON TURNER M.D., PH.D.
Neurological Surgery
1 MEDICAL CENTER DRIVE, ROOM 4300
MORGANTOWN, WV 26506
Monongalia County (304) 293-5041
PENNY CULLEY RN
Nurse Practitioner (Family)
1 MEDICAL CENTER DRIVE
MORGANTOWN, WV 26506
Monongalia County (304) 598-4800

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 Riggleman's NPI number?

The NPI number for Candice Riggleman is 1972951259. It was assigned to this individual provider in the NPPES registry on May 27, 2016.

Where is Candice Riggleman located?

Candice Riggleman practices at 1 Medical Center Drive, Morgantown, WV 26506. The listed phone number is (304) 598-4800.

What is Candice Riggleman's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Candice Riggleman enrolled in Medicare?

Yes. Candice Riggleman 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 Riggleman accept?

Health plans from CareSource and Highmark Blue Cross Blue Shield West Virginia list Candice Riggleman 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.

Is Candice Riggleman affiliated with any hospitals?

According to CMS data, Candice Riggleman is affiliated with West Virginia University Hospitals, Inc.

When was this NPI record last updated?

The NPPES record for Candice Riggleman was last updated on May 27, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.