Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Candace Donyusha Charles, PA

Individual provider Physician Assistant · NPI 1922284504

Candace Donyusha Charles, PA is a Physician Assistant in O Fallon, Illinois. Qualified in 2007, 19 years ago. Practices with Interventional Pain Consultants LLC, a 6-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Illinois.

Years since qualifying
19
Licensed in
IL
In the registry since
2008
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

4965 Stone Falls Ctr Ste 7
O Fallon, IL 62269-7803
Phone: (618) 726-2500
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 085004583 (IL)

Record details

NPI number1922284504
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJanuary 14, 2008
Last updated in NPPESAugust 2, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Interventional Pain Consultants Llc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in O Fallon