TRACI DIGVONNI (FNP) – Family Nurse Practitioner, NPI 1225586514

TRACI DIGVONNI (FNP) is a healthcare provider. based in Rockford, Illinois. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 209014851 (IL). The NPI Number for TRACI DIGVONNI (FNP) is 1225586514

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
TRACI DIGVONNI (FNP)
NPI
1225586514
Phone
(815) 490-1600
Address
1200 W STATE ST
Enumeration Date
14 September 2016
Last Update Date
14 August 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8154901600
Graduation Year
2016 (10 years ago)
PAC ID
3072801216
Group Practice PAC ID
5799682993
Professional Enrollment ID
I20250918004312
Address ID
IL611072201RO1215XRDXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:9State licenses:1Digital endpointsOther names

11,632 NURSE PRACTITIONER in IL

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Provider Addresses for TRACI DIGVONNI (FNP)

  • West State Street, Rockford, Winnebago County, Illinois, 61102, United States

    ROCKFORD, IL 611022112

    Phone: (815) 490-1600

    Fax: (815) 490-1881

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2025-09-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250918004312INurse PractitionerILTBD

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.

Verify on CMS Revalidation Lookup Tool

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 61102)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5799682993View full group profile
NameSpecialtyState
Infectious DiseaseIL
Nurse PractitionerIL
Certified Nurse Midwife (Cnm)IL
Nurse PractitionerIL
Nurse PractitionerIL
Nurse PractitionerIL
Nurse PractitionerWI
Nurse PractitionerIL
Physician AssistantIL
-IL

Reviews

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Frequently asked questions

What is the 10-digit NPI for TRACI DIGVONNI (FNP)?
TRACI DIGVONNI (FNP) — NPI 1225586514 — is the standard way to identify this listing.
Does the file indicate TRACI DIGVONNI (FNP) is practicing under active NPI?
Directory data currently reports TRACI DIGVONNI (FNP) as active.
What is TRACI DIGVONNI (FNP)'s specialty?
The listing groups TRACI DIGVONNI (FNP) with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does TRACI DIGVONNI (FNP) list a practice location?
Patients near Rockford, Illinois may find TRACI DIGVONNI (FNP) in results; validate coverage separately.
Why does TRACI DIGVONNI (FNP) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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