Individual provider Active NPI

Candace K Hall, FNP-C

  • Family Nurse Practitioner
  • Gainesville, VA
National Provider Identifier
1801412242
Registry record updated Feb 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024179004 Issued in VA
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

Updated by the provider on Feb 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1801412242MedicaidVA

Other names 1

  • Candace Kidwell Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210325001945 DC Practitioner - Nurse Practitioner 9739596487 Reassigns benefits to 2 organizations
I20210326000317 VA Practitioner - Nurse Practitioner 9739596487 Reassigns benefits to 3 organizations

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
Inova Ucc LLCGroup PAC ID 7012385040, 158 clinicians
Gastroenterology Associates VA, LLCGroup PAC ID 2466449228, 51 clinicians

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 Hospital, Haymarket, VA, CCN 490144
  • Fauquier Hospital Hospital, Warrenton, VA, CCN 490023
  • Uva Health Culpeper Medical Center Hospital, Culpeper, VA, CCN 490019
  • Uva Health Prince William Medical Center Hospital, Manassas, VA, CCN 490045
  • University of Virginia Medical Center Hospital, Charlottesville, VA, CCN 490009

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
88.6 of 100Reported as group
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

LicenseStateTypeSpecialty
0024179004VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Inova Health Care Services Current Accepting new patients
Gastroenterology Associates VA, LLC CurrentSince Jan 31, 2024 Accepting new patients
Inova Health Care Services CurrentSince Nov 15, 2021 Accepting new patients
Inova Health Care Services CurrentSince Nov 15, 2021 Accepting new patients
Inova Ucc LLC CurrentSince Nov 15, 2022 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 5

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": "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

Verify at the official NPI Registry.