| Candice Lou Vanderplaats, RN CNP | |
|
240 Willow Street, Tyler, MN 56178 | |
| (507) 247-5921 | |
| (507) 247-5184 |
| Full Name | Candice Lou Vanderplaats |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 13 Years |
| Location | 240 Willow Street, Tyler, Minnesota |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104178946 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | R172256-5 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Avera Marshall Regional Medical Ctr | Marshall, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Rural Health Care Inc | 3476447541 | 135 |
| Entity Name | Avera Marshall |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568401016 PECOS PAC ID: 5799695227 Enrollment ID: O20031106000219 |
| Entity Name | Rural Health Care Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215317375 PECOS PAC ID: 3476447541 Enrollment ID: O20150710000034 |
| Entity Name | Avera Tyler |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801840517 PECOS PAC ID: 9638088537 Enrollment ID: O20170630001868 |
| Mailing Address | Practice Location Address |
|---|---|
| Candice Lou Vanderplaats, RN CNP 240 Willow Street, Tyler, MN 56178 Ph: (507) 247-5921 | Candice Lou Vanderplaats, RN CNP 240 Willow Street, Tyler, MN 56178 Ph: (507) 247-5921 |
Jill Marie Jay, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 240 Willow St, Tyler, MN 56178 Phone: 507-247-5521 | |
Kassandra Elizabeth Anderson, FNP-C Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 240 Willow St, Tyler, MN 56178 Phone: 507-247-5521 |