CANDICE VICENCIO (DNP, FNP-BC) – Nurse Practitioner, NPI 1003442880
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
11,632 NURSE PRACTITIONER in IL
Provider Addresses for CANDICE VICENCIO (DNP, FNP-BC)
4215 NEWBURG RD
ROCKFORD, IL 611086479
Phone: (815) 988-8500
Fax: (815) 977-5956
Type: Mailing
1235 N Mulford Rd Ste 222
Rockford, IL 611073879
Phone: (815) 397-8400
Type: Location
2202 HARLEM RD STE 200
LOVES PARK, IL 611112754
Phone: (815) 877-4848
Fax: (815) 654-5342
Type: Mailing
1235 N MULFORD RD STE 222
ROCKFORD, IL 611073879
Phone: (815) 397-8400
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 84 Open Payments records for all available years, with a total value of $1,647.
Total Amount is formed as General ($1,647) + Research ($0) + Ownership ($0) = $1,647.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Medtronic, Inc. ($390).
Total Amount
$1,647
General + Research + Ownership
Payments
84
Total payment records
General Amount
$1,647
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $390 |
| ABBVIE INC. | $226 |
| Novo Nordisk Inc | $222 |
| E.R. Squibb & Sons, L.L.C. | $140 |
| Janssen Pharmaceuticals, Inc | $81 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-01-24
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20200609002236 | I | Nurse Practitioner | IL | TBD |
| I20250124002712 | I | Nurse Practitioner | TX | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 351 | 208 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 131 | 99 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 36 | 36 | $0 |
| 62369 | Electronic analysis reprogramming and refill of spinal canal drug infusion pump | 27 | 22 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 18 | 18 | $0 |
Insurance plans in this area (ZIP 61108)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | TX | |
| - | TX | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX | |
| - | TX | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX |
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