Candice Michelle Pielago Aphaivong, FNP-BC
Nurse Practitioner, Family in Elgin, IL. Individual provider (NPI-1).
NPI number1124503602
StatusActive
Last updated in NPPESOct 1, 2018
Details
- NPI
- 1124503602
- Entity type
- Individual (NPI-1)
- Name
- Candice Michelle Pielago Aphaivong
- Credential
- FNP-BC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 1, 2018
- Last updated
- Oct 1, 2018
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · ORDER AND REFERRING ONLY - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 209018293 | IL | Yes |
Practice location
370 Summit StElgin, IL 60120-3843
Phone 847-608-1344
Mailing address
1420 Evergreen LnPingree Grove, IL 60140-9103
Phone 773-600-2005
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 90 Family Nurse Practitioner providers in Elgin · All 3,029 providers in Elgin
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