NPIMap

Individual provider Active NPI

Candace Esther Nall

  • Emergency Medicine Physician
  • O'Fallon, IL
National Provider Identifier
1285945436
Registry record updated Jun 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
2010017365 Issued in MO
Practice address
320 E Highway 50
O Fallon, IL 62269-2704
Phone
(618) 624-3368
NPI assigned
Jun 22, 2010
Last updated
Jun 10, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 2010017365 MO Primary

Addresses

Primary practice location

320 E Highway 50
O Fallon, IL 62269-2704

Mailing address

320 E Highway 50
O Fallon, IL 62269-2704
Phone (618) 624-3368

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, IL, OH, TN, IN5 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20130812000145 MO Practitioner - Emergency Medicine 9739321332 Reassigns benefits to 2 organizations
I20130927000235 IL Practitioner - Emergency Medicine 9739321332 Reassigns benefits to 1 organization
I20250826003188 OH Practitioner - Emergency Medicine 9739321332 Reassigns benefits to 1 organization
I20251002003396 TN Practitioner - Emergency Medicine 9739321332 Reassigns benefits to 2 organizations
I20260303002420 IN Practitioner - Emergency Medicine 9739321332 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Saint Louis University School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Marion General HospitalGroup PAC ID 9133023625, 115 clinicians

Practice addresses (Care Compare)

441 N Wabash Ave
Marion, IN 46952-2612
Phone (765) 660-6000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2010017365MOMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Hospital South CurrentSince Jan 18, 2024 Accepting new patients
Emergency Medicine Physicians of Lake County LTD Emergency Medicine CurrentSince Jun 9, 2025 Accepting new patients
Southeastern Emergency Physicians LLC Emergency Medicine CurrentSince Sep 25, 2025 Accepting new patients
Emergency Coverage, LLC Emergency Medicine CurrentSince Sep 25, 2025 Accepting new patients
Marion General Hospital CurrentSince Jan 24, 2026 Accepting new patients
Mercy Hospital South Emergency Medicine CurrentSince Jan 18, 2024 Accepting new patients
Marion General Hospital CurrentSince Jan 24, 2026 Accepting new patients
Southeastern Emergency Physicians of Memphis LLC Emergency Medicine Past Accepting new patients

Locations

441 N Wabash Ave
Marion, IN 46952
Phone (219) 482-4577

10010 Kennerly Rd
Saint Louis, MO 63128
Phone (314) 525-1328

36000 Euclid Ave
Willoughby Hills, OH 44094
Phone (440) 375-8166

265 Brookview Centre Way
Ste 203
Knoxville, TN 37919
Phone (865) 985-7114

9352 Park West Blvd
Knoxville, TN 37923
Phone (865) 373-1000

1607 S Locust Ave
Lawrenceburg, TN 38464
Phone (731) 287-2244

653 Merchants Greene Blvd
Morristown, TN 37813
Phone (423) 492-6900

908 W 4th North St
Morristown, TN 37814
Phone (423) 492-9000

742 Middle Creek Rd
Sevierville, TN 37862
Phone (865) 429-6100

Interoperability endpoints

  • Direct secure messaging: cnall135503@direct.carenet.org
  • Direct secure messaging: cnall172@yourcarecommunity.org

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1277164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402358400000",
    "number": "1285945436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 E HIGHWAY 50",
            "city": "O FALLON",
            "state": "IL",
            "postal_code": "622692704",
            "telephone_number": "618-624-3368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 E HIGHWAY 50",
            "city": "O FALLON",
            "state": "IL",
            "postal_code": "622692704",
            "telephone_number": "618-624-3368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NALL",
        "first_name": "CANDACE",
        "middle_name": "ESTHER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-22",
        "last_updated": "2014-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MO",
            "license": "2010017365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in O'Fallon, IL

Sources for this page

Verify at the official NPI Registry.