Active NPI
Candyce Frey
- Nurse Practitioner
- Glen Carbon, IL
National Provider Identifier
1881494086
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 209.031860
- Practice address
- 220 Evergreen LN Unit a
Glen Carbon, IL 62034-1754 - Phone
- (618) 655-0333
- NPI assigned
- Mar 17, 2025
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 209.031860 | IL | |
| Nurse Practitioner | 363L00000X | 209.031860 | IL | Primary |
Addresses
Primary practice location
220 Evergreen LN Unit a
Glen Carbon, IL 62034-1754
Mailing address
916 Talon Dr
O Fallon, IL 62269-1848
Phone (618) 628-8211
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250507001780 | IL | Practitioner - Nurse Practitioner | 2567989163 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Apg Network, LLC
Practice addresses (Care Compare)
1181 S State Route 157
Edwardsville, IL 62025
Phone (888) 363-8333
Hospital & facility affiliations
- Northwestern Medicine Central Dupage Hospital
- Osf Saint Anthony'S Health Center
- Anderson Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209.031860 | IL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Apg Network LLC | Internal Medicine | Current | Accepting new patients |
| Infinite Medical Specialists PC | Nurse Practitioner | Past | Accepting new patients |
| Interventional Pain Institute, LLC | Past | Accepting new patients | |
| Infinite Healthcare Solutions Inc | Past | Accepting new patients | |
| Associated Physicians Group, LTD | Past | Accepting new patients |
Locations
4414 W Center Dr
Alton, IL 62002
Phone (618) 509-8454
1181 S State Route 157
Edwardsville, IL 62025
Phone (618) 288-4100
1181 S State Route 157
Ste 201B
Edwardsville, IL 62025
Phone (618) 307-9015
916 Talon Dr
#102
O Fallon, IL 62269
Phone (618) 628-8211
916 Talon Dr
O Fallon, IL 62269
Phone (618) 628-8211
12 Wolf Creek Dr
Ste 201
Swansea, IL 62226
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.
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- O Fallon, IL
- NPI 1811940893
-
- Family Medicine Physician
- Glen Carbon, IL
- NPI 1366213415
-
- Multi-Specialty Clinic/Center
- Glen Carbon, IL
- NPI 1639061757
Nurse Practitioner
-
- Interventional Pain Medicine Physician
- Troy, MO
- NPI 1013779271
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Winfield, IL
- NPI 1003864810
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1742169600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783555200000",
"number": "1881494086",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "916 TALON DR",
"city": "O FALLON",
"state": "IL",
"postal_code": "622691848",
"telephone_number": "618-628-8211",
"fax_number": "618-628-0883"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 EVERGREEN LN UNIT A",
"city": "GLEN CARBON",
"state": "IL",
"postal_code": "620341754",
"telephone_number": "618-655-0333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREY",
"first_name": "CANDYCE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-03-17",
"last_updated": "2026-07-09",
"certification_date": "2026-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "209.031860",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IL",
"license": "209.031860",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glen Carbon, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.