Active NPI 1003442880 Individual Practitioner Female Practitioner

Dr. Candice Vicencio , DNP, FNP-BC

Nurse Practitioner • Rockford, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Candice Vicencio, DNP, FNP-BC is a certified Nurse Practitioner practicing in Rockford, IL. With approximately 19 years of clinical experience since completing medical education in 2007, Dr. Vicencio delivers high-quality medical care to the local community at 4215 NEWBURG RD.

Dr. Vicencio is affiliated with Slater-Delk Medical, Pllc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, electronic analysis reprogramming and refill of spinal canal drug infusion pump, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4215 Newburg Rd

Rockford, IL 611086479

Telephone 8159888500

Fax 8159775956

Associated Practice Facility / Clinic

🏢 In Home Medical Group Llc Facility NPI 1497087175

Medicare Profile & Education

Medical School

Other

Graduation Year

2007

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Rockford, IL

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

19 Yrs +8.3 yrs vs City Avg

City Avg: 10.7 Yrs

State Avg: 10.4 Yrs

Regional Practice Density

130 Specialists

Practicing in Rockford, IL (4929 Statewide)

Telehealth Adoption Rate

13.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

61.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Vicencio (19 Years) 19 Yrs

Rockford Specialty Average (10.7 Years) 10.7 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	171	155	$315.04	$103.71
99213 Established patient office or other outpatient visit, typically 15 minutes	59	56	$207.29	$73.49
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	22	21	$311.26	$147.45
99213 Established patient office or other outpatient visit, typically 15 minutes	18	15	$161.40	$54.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	337	195	$425.00	$103.49
99213 Established patient office or other outpatient visit, typically 15 minutes	100	76	$250.00	$73.67
99213 Established patient office or other outpatient visit, typically 15 minutes	31	23	$166.13	$54.70
62369 Electronic analysis reprogramming and refill of spinal canal drug infusion pump	27	22	$1000.00	$73.69
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	25	25	$450.00	$136.60
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$360.00	$87.46
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	13	$312.97	$80.71
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$391.93	$110.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	198	130	$354.14	$104.04
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	54	41	$430.00	$149.74
99213 Established patient office or other outpatient visit, typically 15 minutes	52	45	$233.85	$72.33
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	42	42	$520.00	$183.97
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	28	28	$423.21	$138.53
G2212 Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or	22	15	$111.36	$27.60
62369 Electronic analysis reprogramming and refill of spinal canal drug infusion pump	19	16	$907.89	$73.58

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	116	83	$195.00	$107.56
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	69	69	$390.00	$185.55
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	67	55	$260.00	$149.33
99213 Established patient office or other outpatient visit, typically 15 minutes	44	39	$130.00	$75.87
G2212 Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or	35	24	$100.00	$27.96
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	32	32	$325.00	$137.01
99442 Telephone medical discussion with physician, 11-20 minutes	20	20	$130.00	$76.23
62369 Electronic analysis reprogramming and refill of spinal canal drug infusion pump	20	14	$750.00	$76.83
99443 Telephone medical discussion with physician, 21-30 minutes	13	12	$195.00	$102.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	33	30	$195.00	$90.79
99441 Telephone medical discussion with physician, 5-10 minutes	24	24	$65.00	$37.63
99213 Established patient office or other outpatient visit, typically 15 minutes	22	19	$130.00	$62.48
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$325.00	$138.24
99442 Telephone medical discussion with physician, 11-20 minutes	12	12	$130.00	$62.48

Medical Specialties & State Licenses

CMS Verified: 2024-05-06

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License IL 209020086

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Hospital & Practice Group Affiliations

Slater-Delk Medical, Pllc

407 Kent St, Midland, TX 797015858

Phone: 4326872273

Slater-Delk Medical, Pllc

4009 Ridgemont Dr, Abilene, TX 796062733

Phone: 3252328830

Secondary Practice Locations

1235 N Mulford Rd Ste 222

Rockford, IL 611073879

Phone: 8153978400

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners

Alexandria Vicencio , FNP-BC

Nurse Practitioner - Family

NPI 1043083587

Family Nurse Practitioner (Board Certified)

Stacy Ghiglieri , APRN, FNP-BC

Nurse Practitioner - Family

NPI 1053065623

Advanced Practice Registered Nurse, Family Nurse Practitioner (Board Certified)

Nicole Gonzalez

Nurse Practitioner - Family

NPI 1063958254

Elaina Parlapanis

Nurse Practitioner - Family

NPI 1083073506

Dauphne Sims

Clinical Nurse Specialist

NPI 1093109043

Jessica Sinks , NP

Nurse Practitioner - Family

NPI 1093174690

Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events

📍

Updated Practice Location May 06, 2024

Registered at 4215 NEWBURG RD, ROCKFORD, IL 611086479 (Tel: 8159888500)

📍

Updated Business Mailing Address May 06, 2024

Registered at 4215 NEWBURG RD, ROCKFORD, IL 611086479 (Tel: 8159888500)

👤

Provider Name / Credentials Updated May 06, 2024

Recorded as CANDICE VICENCIO, DNP, FNP-BC

✅

NPI Profile Active March 12, 2020

NPI status registered as active in NPPES database

📍

Updated Practice Location March 12, 2020

Registered at 1235 N MULFORD RD STE 222, ROCKFORD, IL 611073879 (Tel: 8153978400)

📍

Updated Business Mailing Address March 12, 2020

Registered at 2202 HARLEM RD STE 200, LOVES PARK, IL 611112754 (Tel: 8158774848)

👤

Provider Name / Credentials Updated March 12, 2020

Recorded as CANDICE VICENCIO, FNP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 12, 2020

Nurse Practitioner (License #209020086 in IL)

🟢

Initial NPI Registration & Enumeration March 12, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1003442880

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: March 12, 2020

Last Update: May 06, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

4215 Newburg Rd

Rockford, IL 611086479

Phone: 8159888500

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.