JULIE VICENCIO (NP) – Nurse Practitioner, NPI 1356739452
Nurse Practitioner
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
11,632 NURSE PRACTITIONER in IL
Provider Addresses for JULIE VICENCIO (NP)
9977 WOODS DR
SKOKIE, IL 600771057
Phone: (224) 364-2273
Fax: (847) 663-8290
Type: Mailing
486 Randall Rd Unit B
South Elgin, IL 601773354
Phone: (224) 783-5000
Fax: (224) 782-5018
Type: Location
3538 HOPEWELL PL
ELGIN, IL 601245705
Phone: (630) 962-6280
Type: Mailing
525 E CONGRESS PKWY
CRYSTAL LAKE, IL 60014
Phone: (630) 962-6280
Type: Location
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: 2017-07-26
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20170726000045 | I | Nurse Practitioner | IL | 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 | 161 | 156 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 67 | 67 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 12 | 12 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 11 | 11 | $0 |
Insurance plans in this area (ZIP 60077)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IL | |
| Emergency Medicine | IL | |
| Emergency Medicine | MI | |
| Nurse Practitioner | IL | |
| - | IL | |
| Emergency Medicine | WI | |
| Emergency Medicine | PA | |
| Emergency Medicine | CA | |
| Emergency Medicine | IL | |
| Nurse Practitioner | IL |
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