Active NPI
Candida Ann Halley, PA-C
- Physician Assistant
- Mattoon, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 1111808
- Practice address
- 1000 Health Center Dr Ste 101
Mattoon, IL 61938-4644 - Phone
- (217) 258-4020
- Fax
- (217) 258-4023
- NPI assigned
- Jul 9, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 1111808 | IL | Primary |
Addresses
Primary practice location
1000 Health Center Dr Ste 101
Mattoon, IL 61938-4644
Mailing address
PO Box 372
Mattoon, IL 61938-0372
Other practice location 1
1900 W Polk St
Chicago, IL 60612-3723
Phone (312) 864-0452
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10640 165TH St
Orland Park, IL 60467-8734
10640 W 165TH St
Orland Park, IL 60467-8734
Phone (708) 364-0261
Merit-based Incentive Payment System (MIPS)
- Final score
- 73.63 of 100
- Quality
- 64.83
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.96 of 100
- Quality
- 69.5
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1111808 | IL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Auburn Memorial Medical Services, PC | Current | Accepting new patients | |
| Sarah Bush Lincoln Health Center | Current | Accepting new patients | |
| Sarah Bush Lincoln Health Center | Current | Accepting new patients | |
| Emergency Physician Services of New York, P.C. | Physician Assistant | Past | Accepting new patients |
| Sarah Bush Lincoln Health Center | Past | Accepting new patients |
Locations
1000 Health Center Dr
Mattoon, IL 61938
Phone (217) 258-2389
1000 Health Center Dr
Ste 101
Mattoon, IL 61938
Phone (217) 258-4020
101 Professional Plz
Mattoon, IL 61938
Phone (217) 238-3730
77 Nelson St
Ste 120
Auburn, NY 13021
Phone (315) 252-7550
17 Lansing St
Sennett, NY 13021
Phone (315) 255-7011
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Neurology Physician
- Orland Park, IL
- NPI 1720035843
-
- General Acute Care Hospital
- Mattoon, IL
- NPI 1669564662
-
- General Acute Care Hospital
- Auburn, NY
- NPI 1093712911
-
- Orthopaedic Surgery Physician
- Auburn, NY
- NPI 1194913749
-
- Emergency Medicine Physician
- Syracuse, NY
- NPI 1639236656
-
dba FCH Greenville Family Medicine Clinic
- Rural Health Clinic/Center
- Greenville, IL
- NPI 1811858970
-
dba Auburn Orthopaedic Services
- Foot & Ankle Surgery Podiatrist
- Auburn, NY
- NPI 1467151852
-
dba FCH Physician Billing
- Critical Access Hospital
- Vandalia, IL
- NPI 1912988734
-
- Emergency Medicine Physician
- Poughkeepsie, NY
- NPI 1093759847
Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1373328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709596800000",
"number": "1639510423",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 372",
"city": "MATTOON",
"state": "IL",
"postal_code": "619380372"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 HEALTH CENTER DR STE 101",
"city": "MATTOON",
"state": "IL",
"postal_code": "619384644",
"telephone_number": "217-258-4020",
"fax_number": "217-258-4023"
}
],
"practiceLocations": [
{
"address_1": "1900 W Polk St",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606123723",
"country_code": "US",
"telephone_number": "312-864-0452",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HALLEY",
"first_name": "CANDIDA",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-07-09",
"last_updated": "2024-03-05",
"certification_date": "2024-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IL",
"license": "1111808",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mattoon, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.