Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Candace Nichole Emmendorfer, PA-C

Individual provider Physician Assistant · NPI 1831392620

Mrs. Candace Nichole Emmendorfer, PA-C is a Physician Assistant in Cape Girardeau, Missouri. Qualified in 2012, 14 years ago. Practices with Cape Radiology Group PC, a 53-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
14
Licensed in
MO
In the registry since
2007
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

70 Doctors Park
Cape Girardeau, MO 63703-4928
Phone: (573) 335-6671
Fax: (573) 339-0083
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 2012042181 (MO)

Record details

NPI number1831392620
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 8, 2007
Last updated in NPPESJuly 18, 2024
Certification dateJuly 18, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Cape Radiology Group Pc — 53 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Cape Girardeau