DR. RACHELLE VICENCIO MD
NPI 1629260534
Pediatrics in Tacoma, WA
About Dr. Rachelle Vicencio Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. RACHELLE VICENCIO MD (NPI 1629260534) is an individual pediatrics provider in Tacoma, Washington, licensed in Washington (MD60580586) and active in the NPI registry since August 2007. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Rachelle Vicencio Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Rachelle Vicencio reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Tacoma, WA 98402
- Reassigned Medicare billing, Washington enrollment
- 1,526 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 98405 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 19
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Rachelle Vicencio's NPI number?
The NPI number for Rachelle Vicencio is 1629260534. It was assigned to this individual provider in the NPPES registry on August 14, 2007.
Where is Rachelle Vicencio located?
Rachelle Vicencio practices at 1608 S J St Floor 2, Tacoma, WA 98405. The listed phone number is (253) 274-7503.
What is Rachelle Vicencio's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Rachelle Vicencio enrolled in Medicare?
Yes. Rachelle Vicencio is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Rachelle Vicencio's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Rachelle Vicencio reassigns Medicare benefits to Franciscan Medical Group (Tacoma, WA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Rachelle Vicencio's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Rachelle Vicencio accept?
Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Rachelle 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 Rachelle Vicencio was last updated on November 25, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Dr. Rachelle Vicencio, MD · NPI 1629260534
Pediatrics physician in Tacoma, Washington. Individual provider, active in the CMS NPPES registry since August 14, 2007.
## Identity
- **NPI:** 1629260534 (Entity type: Individual)
- **Enumerated:** August 14, 2007
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** MD60580586 (Washington)
- **Sole proprietor:** No
## Practice location
- **Address:** 1608 S J ST, FLOOR 2, Tacoma, WA 98405-4930
- **Phone:** (253) 274-7503 · **Fax:** (253) 274-7993
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Franciscan Medical Group (NPI 1831358282, Tacoma, WA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 25, 2015
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Source: [NPI Profile](https://npiprofile.com/npi/1629260534) · Data from the CMS NPPES public registry.