Active NPI
Candace N Benner, N.P.
- Family Nurse Practitioner
- Springfield, IL
National Provider Identifier
1932268919
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 209003332
- Practice address
- 1025 S 6TH St
Springfield, IL 62703-2403 - Phone
- (217) 528-7541
- Fax
- (217) 535-3662
- NPI assigned
- Dec 6, 2006
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 309001472 | IL | |
| Family Nurse Practitioner | 363LF0000X | 209003332 | IL | Primary |
Addresses
Primary practice location
1025 S 6TH St
Springfield, IL 62703-2403
Mailing address
1130 S 6TH St
Springfield, IL 62703-2406
Phone (217) 528-7541
Other practice location 1
101 W McKinley Ave
Decatur, IL 62526-3286
Phone (217) 876-3682
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
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
101 W McKinley Ave
Decatur, IL 62526-3286
Phone (217) 876-3682
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 73.88 of 100
- Quality
- 63.91
- Improvement activities
- 40
- Cost
- 77.03
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 309001472 | IL | MD | Nurse Practitioner |
| 209003332 | IL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memorial Health Partners | Current | Accepting new patients |
Interoperability endpoints
- candacebenner@sfc.allscriptsdirect.net
- candacebenner@memorial.allscriptsdirect.net
Organizations & group practices 2
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.
-
- General Acute Care Hospital
- Decatur, IL
- NPI 1164477725
-
- Family Medicine Physician
- Springfield, IL
- NPI 1376034744
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Decatur, IL
- NPI 1548357973
-
- Critical Access Hospital
- Pana, IL
- NPI 1942326970
-
- General Acute Care Hospital
- Decatur, IL
- NPI 1326041229
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600041600000",
"number": "1932268919",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1130 S 6TH ST",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627032406",
"telephone_number": "217-528-7541"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1025 S 6TH ST",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627032403",
"telephone_number": "217-528-7541",
"fax_number": "217-535-3662"
}
],
"practiceLocations": [
{
"address_1": "101 W McKinley Ave",
"address_purpose": "LOCATION",
"city": "Decatur",
"state": "IL",
"postal_code": "625263286",
"country_code": "US",
"telephone_number": "217-876-3682",
"fax_number": "217-876-3345",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BENNER",
"first_name": "CANDACE",
"middle_name": "N",
"credential": "N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-06",
"last_updated": "2020-09-14",
"certification_date": "2020-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IL",
"license": "309001472",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "209003332",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2020; 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.