Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Candice Vicencio, DNP, FNP-BC

Individual provider Nurse Practitioner · NPI 1003442880

Candice Vicencio, DNP, FNP-BC is a Nurse Practitioner in Rockford, Illinois. Qualified in 2007, 19 years ago. Practices with Slater-Delk Medical, PLLC, a 34-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
19
Licensed in
IL
In the registry since
2020
What do these letters mean?
DNP — Doctor of Nursing Practice
The highest clinical degree in nursing.
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.

Additional practice locations (1)

  • 1235 N Mulford Rd Ste 222, Rockford, IL 61107-3879 — (815) 397-8400

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 209020086 (IL)

Record details

NPI number1003442880
Entity typeIndividual (Type 1)
GenderFemale
Credentials DNP , FNP-BC
Sole proprietorNo
NPI enumeratedMarch 12, 2020
Last updated in NPPESMay 6, 2024
Certification dateMay 6, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Slater-Delk Medical, Pllc — 34 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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