CANDICE VICENCIO DNP, FNP-BC
NPI 1003442880
Nurse Practitioner in Rockford, IL

Active since March 12, 2020PECOS EnrolledAccepts Medicare Assignment
74.98/100
CMS Quality Rating
4215 NEWBURG RD, ROCKFORD, IL 61108(815) 988-8500(815) 977-5956 Get Directions Write a Review

NPPES record last updated: May 6, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 6, 2024, Mar 12, 2020 (2 updates tracked since 2020).

About Candice Vicencio Dnp, Fnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CANDICE VICENCIO DNP, FNP-BC (NPI 1003442880) is an individual nurse practitioner in Rockford, Illinois, licensed in Illinois (209020086) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Rockford, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1003442880
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameCANDICE VICENCIOCredential: DNP, FNP-BC
Location Address4215 NEWBURG RDRockford, IL 61108-6479
Mailing Address4215 Newburg RdRockford, IL 61108-6479 · (815) 988-8500 · Fax (815) 977-5956
Fax(815) 977-5956
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateMarch 12, 2020
Last NPPES UpdateMay 6, 20242 updates tracked since enumeration
NPPES CertifiedMay 6, 2024
NPI 1003442880 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in IL · 209020086
Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

4215 NEWBURG RD, Rockford, IL 61108

Secondary Practice Location 1

Location 11235 N Mulford Rd Ste 222Rockford, IL 61107-3879 · Phone (815) 397-8400

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Candice Vicencio Dnp, Fnp-bc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2264853738
PECOS Enrollment IDI20250124002712
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
171 services155 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
59 services56 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
22 services21 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
18 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61108 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

74.98/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.92
Promoting Interoperability78
Improvement Activities40
Cost55.01

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
4215 NEWBURG RD
ROCKFORD, IL 61108
Nurse Practitioner (Family)
4215 NEWBURG RD
ROCKFORD, IL 61108
Nurse Practitioner (Family)
4215 NEWBURG RD
ROCKFORD, IL 61108
Nurse Practitioner (Gerontology)
4215 NEWBURG RD
ROCKFORD, IL 61108
Counselor (Professional)
4215 NEWBURG RD
ROCKFORD, IL 61108
Nurse Practitioner (Family)
4215 NEWBURG RD
ROCKFORD, IL 61108
Nurse Practitioner
4215 NEWBURG RD
ROCKFORD, IL 61108
Nurse Practitioner (Family)
4215 NEWBURG RD
ROCKFORD, IL 61108

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Candice Vicencio's NPI number?

The NPI number for Candice Vicencio is 1003442880. It was assigned to this individual provider in the NPPES registry on March 12, 2020.

Where is Candice Vicencio located?

Candice Vicencio practices at 4215 Newburg Rd, Rockford, IL 61108. The listed phone number is (815) 988-8500.

What is Candice Vicencio's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Candice Vicencio enrolled in Medicare?

Yes. Candice Vicencio is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Candice Vicencio accept?

Health plans from Blue Cross and Blue Shield of Texas list Candice Vicencio as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Candice Vicencio was last updated on May 6, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.