Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
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Alexandria Pebbles Vicencio, FNP-BC

Individual provider Family Nurse Practitioner · NPI 1043083587

Alexandria Pebbles Vicencio, FNP-BC is a Nurse Practitioner in Rockford, Illinois. Qualified in 2023, 3 years ago. Practices with Community Home Physicians LLC, a 80-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
3
Licensed in
IL
In the registry since
2023
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

4215 Newburg Rd
Rockford, IL 61108-6479
Phone: (815) 988-8500
Fax: (815) 977-5956
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 209.028650 (IL)

Record details

NPI number1043083587
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-BC
Sole proprietorNo
NPI enumeratedNovember 6, 2023
Last updated in NPPESNovember 6, 2023
Certification dateNovember 6, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Community Home Physicians Llc — 80 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients402
Services billed 1,762 a service is one billed item, such as a visit, a test or a procedure
Average patient age80

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

  • Osf Saint Katharine Medical Center Hospital · Dixon, IL

Colleagues at Community Home Physicians LLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 80 clinicians in the practice; 12 are shown here.

Other providers in Rockford