TRACI DIGVONNI FNP
NPI 1225586514
Nurse Practitioner - Family in Rockford, IL

Q: What is Traci Digvonni's NPI number?

The NPI number for Traci Digvonni is 1225586514. It was assigned to this individual provider in the NPPES registry on September 14, 2016.

Q: What is Traci Digvonni's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Traci Digvonni was last updated on August 14, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 14, 2016PECOS EnrolledAccepts Medicare Assignment

1200 W STATE ST, ROCKFORD, IL 61102(815) 490-1600(815) 490-1881 Get Directions Write a Review

NPPES record last updated: August 14, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 14, 2019, Sep 14, 2016 (2 updates tracked since 2016).

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About Traci Digvonni Fnp NPPES

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

TRACI DIGVONNI FNP (NPI 1225586514) is an individual family provider in Rockford, Illinois, licensed in Illinois (209014851) and active in the NPI registry since September 2016. She is enrolled in Medicare PECOS, is affiliated with Saint Anthony Medical Center, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1225586514

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameTRACI DIGVONNICredential: FNP

Location Address1200 W STATE STRockford, IL 61102-2112

Mailing Address1200 W State StRockford, IL 61102-2112 · (815) 490-1600 · Fax (815) 490-1881

Phone(815) 490-1600

Fax(815) 490-1881

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateSeptember 14, 2016

Last NPPES UpdateAugust 14, 20192 updates tracked since enumeration

✔ NPI 1225586514 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in IL · 209014851

1200 W STATE ST, Rockford, IL 61102

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware and more.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

Traci Digvonni Fnp 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 ID3072801216

PECOS Enrollment IDI20250918004312

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Saint Anthony Medical Center

Acute Care Hospitals · Rockford, IL

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number140233

Location5666 East State StreetRockford, IL 61108 · Winnebago County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61102 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.

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.

CARYN ANN RUZIC APRN

Nurse Practitioner (Family)