AZALEA VICENTENO
NPI 1386187912
Nurse Practitioner - Family in Chicago, IL

Active since November 30, 2016PECOS EnrolledAccepts Medicare Assignment
97.71/100
CMS Quality Rating
3600 W FULLERTON AVE, CHICAGO, IL 60647(773) 782-2800 Get Directions Write a Review

NPPES record last updated: September 29, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 29, 2020, Jan 23, 2020 (2 updates tracked since 2020).

About Azalea Vicenteno NPPES

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

AZALEA VICENTENO (NPI 1386187912) is an individual family provider in Chicago, Illinois, licensed in Illinois (209015196) and active in the NPI registry since November 2016. She is enrolled in Medicare PECOS, is affiliated with The University Of Chicago Medical Center, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1386187912
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameAZALEA VICENTENO
Location Address3600 W FULLERTON AVEChicago, IL 60647-2319
Mailing Address1464 S Michigan Ave, 1402Chicago, IL 60605-3711 · (312) 560-8368
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateNovember 30, 2016
Last NPPES UpdateSeptember 29, 20202 updates tracked since enumeration
NPPES CertifiedSeptember 29, 2020
NPI 1386187912 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 · 209015196
3600 W FULLERTON AVE, Chicago, IL 60647

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

Azalea Vicenteno 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 ID3072897586
PECOS Enrollment IDI20170301001119
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

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.
14 services12 patients

Hospital Affiliations CMS Care Compare

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

The University Of Chicago Medical Center

Acute Care Hospitals · Chicago, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140088
Location5841 South MarylandChicago, IL 60637 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60647 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
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.

97.71/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality75.43
Promoting Interoperability100
Improvement Activities40

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
3600 W FULLERTON AVE
CHICAGO, IL 60647
Social Worker (Clinical)
3600 W FULLERTON AVE
CHICAGO, IL 60647
Nurse Practitioner
3600 W FULLERTON AVE
CHICAGO, IL 60647
Nurse Practitioner (Family)
3600 W FULLERTON AVE
CHICAGO, IL 60647
Pediatrics
3600 W FULLERTON AVE
CHICAGO, IL 60647
Midwife
3600 W FULLERTON AVE
CHICAGO, IL 60647
Pediatrics
3600 W FULLERTON AVE
CHICAGO, IL 60647
Case Manager/Care Coordinator
3600 W FULLERTON AVE
CHICAGO, IL 60647

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 Azalea Vicenteno's NPI number?

The NPI number for Azalea Vicenteno is 1386187912. It was assigned to this individual provider in the NPPES registry on November 30, 2016.

Where is Azalea Vicenteno located?

Azalea Vicenteno practices at 3600 W Fullerton Ave, Chicago, IL 60647. The listed phone number is (773) 782-2800.

What is Azalea Vicenteno's specialty?

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

Is Azalea Vicenteno enrolled in Medicare?

Yes. Azalea Vicenteno 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.

Is Azalea Vicenteno affiliated with any hospitals?

According to CMS data, Azalea Vicenteno is affiliated with The University Of Chicago Medical Center.

When was this NPI record last updated?

The NPPES record for Azalea Vicenteno was last updated on September 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.