Candice Vicencio, DNP, FNP-BC - Medicare Nurse Practitioner in Rockford, IL

Candice Vicencio, DNP, FNP-BC is a medicare enrolled "Nurse Practitioner" in Rockford, Illinois. She graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Medical Pain Management Services, Ltd., Swedishamerican Hospital and her current practice location is 4215 Newburg Rd, Rockford, Illinois. You can reach out to her office (for appointments etc.) via phone at (815) 988-8500.

Candice Vicencio is licensed to practice in Illinois (license number 209020086) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1003442880.

Contact Information

Candice Vicencio, DNP, FNP-BC
4215 Newburg Rd,
Rockford, IL 61108-6479
(815) 988-8500
(815) 977-5956



Provider's Profile

Full NameCandice Vicencio
GenderFemale
SpecialityNurse Practitioner
Experience5 Years
Location4215 Newburg Rd, Rockford, Illinois
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Candice Vicencio graduated from nursing school in 2019
  NPI Data:
  • NPI Number: 1003442880
  • Provider Enumeration Date: 03/12/2020
  • Last Update Date: 05/06/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 2264853738
  • Enrollment ID: I20200609002236

Medical Identifiers

Medical identifiers for Candice Vicencio such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003442880NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 209020086 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Swedish American HospitalRockford, ILHospital
Osf Saint Anthony Medical CenterRockford, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Medical Pain Management Services, Ltd.42846937555
Swedishamerican Hospital5799698346273

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Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Candice Vicencio allows following entities to bill medicare on her behalf.
Entity NameSwedishamerican Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962451732
PECOS PAC ID: 5799698346
Enrollment ID: O20031215000012

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Entity NameMedical Pain Management Services, Ltd.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447276480
PECOS PAC ID: 4284693755
Enrollment ID: O20041008001112

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Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Candice Vicencio is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Candice Vicencio, DNP, FNP-BC
4215 Newburg Rd,
Rockford, IL 61108-6479

Ph: (815) 988-8500
Candice Vicencio, DNP, FNP-BC
4215 Newburg Rd,
Rockford, IL 61108-6479

Ph: (815) 988-8500

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Nurse Practitioner Nurses in Rockford, IL

Misty Lynn Dehaven, APN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1639 N Alpine Rd Ste 260, Rockford, IL 61107
Phone: 815-395-1500    Fax: 815-395-1415
Caryn Ann Ruzic, APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1200 W State St, Rockford, IL 61102
Phone: 815-490-1600    Fax: 815-490-1881
Tyler James Rafferty, FNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 5666 E State St, Rockford, IL 61108
Phone: 815-226-2000    
Angela Giardono, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 5666 E State St, Rockford, IL 61108
Phone: 815-226-2000    
Melissa L. Inman, APN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 461 N Mulford Rd Ste 3, Rockford, IL 61107
Phone: 815-227-9594    Fax: 815-227-9574
Michelle L Bennett, APRN
Nurse Practitioner
Medicare: May Accept Medicare Assignments
Practice Location: 3505 N Bell School Rd, Rockford, IL 61114
Phone: 779-696-0300    Fax: 815-639-9433

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