Active NPI
Candace K Hall, FNP-C
- Family Nurse Practitioner
- Gainesville, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 0024179004
- Practice address
- 7915 Lake Manassas Dr Ste 302
Gainesville, VA 20155-3260 - Phone
- (571) 248-0653
- Fax
- (571) 248-0658
- NPI assigned
- Jun 22, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 0024179004 | VA | Primary |
| Nurse Practitioner | 363L00000X | 0024179004 | VA |
Addresses
Primary practice location
7915 Lake Manassas Dr Ste 302
Gainesville, VA 20155-3260
Mailing address
PO Box 381468
Germantown, TN 38183-1468
Other practice location 1
8640 Sudley Rd Ste 201
Manassas, VA 20110-4404
Phone (703) 368-6819
Other practice location 2
180 Maple Ave W
Vienna, VA 22180-5727
Phone (703) 938-5300
Other practice location 3
170 W Shirley Ave Ste 205
Warrenton, VA 20186-3083
Phone (540) 347-2470
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801412242 | Medicaid | VA |
Other names 1
- Candace Kidwell
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, VA
- 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
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
180 Maple Ave W
Vienna, VA 22180-5727
Phone (703) 938-5300
24801 Pinebrook Rd
Suite 110
Chantilly, VA 20152-4113
Phone (703) 722-2500
7915 Lake Manassas Dr
Suite 302
Gainesville, VA 20155-3260
Phone (571) 248-0653
Hospital & facility affiliations
- Uva Health Haymarket Medical Center
- Fauquier Hospital
- Uva Health Culpeper Medical Center
- Uva Health Prince William Medical Center
- University of Virginia Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.6 of 100
- Quality
- 84.42
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.58
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0024179004 | VA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inova Health Care Services | Current | Accepting new patients | |
| Gastroenterology Associates VA, LLC | Current | Accepting new patients | |
| Inova Health Care Services | Current | Accepting new patients | |
| Inova Health Care Services | Current | Accepting new patients | |
| Inova Ucc LLC | Current | Accepting new patients |
Locations
3902 Wilson Blvd
Arlington, VA 22203
Phone (571) 560-2648
6201 Centreville Rd
Ste 200
Centreville, VA 20121
Phone (703) 830-5600
24801 Pinebrook Rd
Ste 110
Chantilly, VA 20152
Phone (703) 722-2500
7915 Lake Manassas Dr
Ste 302
Gainesville, VA 20155
Phone (571) 248-0653
224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894
8640 Sudley Rd
Ste 201
Manassas, VA 20110
Phone (703) 368-6819
711C E Main St
Purcellville, VA 20132
Phone (540) 338-4995
180 Maple Ave W
Vienna, VA 22180
Phone (703) 938-5300
170 W Shirley Ave
Ste 205
Warrenton, VA 20186
Phone (540) 347-2470
Interoperability endpoints
- chall975874@soc.inova.org
Organizations & group practices 5
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.
-
- Gastroenterology Physician
- Gainesville, VA
- NPI 1518990472
-
- Internal Medicine Physician
- Falls Church, VA
- NPI 1952320061
-
- Medical Technologist
- Sterling, VA
- NPI 1699655589
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Warrenton, VA
- NPI 1912334517
-
- General Acute Care Hospital
- Charlottesville, VA
- NPI 1780630608
-
- General Acute Care Hospital
- Culpeper, VA
- NPI 1669538047
-
- General Acute Care Hospital
- Haymarket, VA
- NPI 1124369137
-
- General Acute Care Hospital
- Manassas, VA
- NPI 1417005760
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1592784000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770940800000",
"number": "1801412242",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 381468",
"city": "GERMANTOWN",
"state": "TN",
"postal_code": "381831468"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7915 LAKE MANASSAS DR STE 302",
"city": "GAINESVILLE",
"state": "VA",
"postal_code": "201553260",
"telephone_number": "571-248-0653",
"fax_number": "571-248-0658"
}
],
"practiceLocations": [
{
"address_1": "8640 Sudley Rd Ste 201",
"address_purpose": "LOCATION",
"city": "Manassas",
"state": "VA",
"postal_code": "201104404",
"country_code": "US",
"telephone_number": "703-368-6819",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "180 Maple Ave W",
"address_purpose": "LOCATION",
"city": "Vienna",
"state": "VA",
"postal_code": "221805727",
"country_code": "US",
"telephone_number": "703-938-5300",
"fax_number": "703-242-0726",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "170 W Shirley Ave Ste 205",
"address_purpose": "LOCATION",
"city": "Warrenton",
"state": "VA",
"postal_code": "201863083",
"country_code": "US",
"telephone_number": "540-347-2470",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HALL",
"first_name": "CANDACE",
"middle_name": "K",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-06-22",
"last_updated": "2026-02-13",
"certification_date": "2026-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "VA",
"license": "0024179004",
"primary": true
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "VA",
"license": "0024179004",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1801412242",
"state": "VA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CANDACE",
"last_name": "KIDWELL",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Gainesville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2026; 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.