Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 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

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