Individual provider Active NPI

Frances Nicdao, FNP-C

  • Family Medicine Physician
  • Tamuning, GU
National Provider Identifier
1194480756
Registry record updated Nov 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
RX0758 Issued in GU
Practice address
1244 N Marine Corps Dr
Tamuning, GU 96913-4308
Phone
(671) 647-8262
Fax
(671) 648-9202
NPI assigned
Nov 8, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X RX0758 GU Primary

Addresses

Primary practice location

1244 N Marine Corps Dr
Tamuning, GU 96913-4308

Mailing address

1244 N Marine Corps Dr
Tamuning, GU 96913-4308
Phone (671) 647-8262

Other practice location 1

263 Vietnam Veterans Memorial Hwy
Mangilao, GU 96913
Phone (671) 647-8262 ext. 219

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL MANGILAO Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GU
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220909003040 GU Practitioner - Nurse Practitioner 7416332556 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RX0758GUMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
American Medical Center, LLC Multi-Specialty CurrentSince May 21, 2022 Accepting new patients

Locations

1244 N Marine Corps Dr
Tamuning, GU 96913
Phone (671) 647-8262

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
American Medical Center, LLC 17 clinicians

Practice addresses (Care Compare)

1244 N Marine Corps Dr
Tamuning, GU 96913
Phone (671) 647-8262

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1636329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636329600000",
    "number": "1194480756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1244 N MARINE CORPS DR",
            "city": "TAMUNING",
            "state": "GU",
            "postal_code": "969134308",
            "telephone_number": "671-647-8262",
            "fax_number": "671-648-9202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1244 N MARINE CORPS DR",
            "city": "TAMUNING",
            "state": "GU",
            "postal_code": "969134308",
            "telephone_number": "671-647-8262",
            "fax_number": "671-648-9202"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "263 Vietnam Veterans Memorial Hwy",
            "address_purpose": "LOCATION",
            "city": "Mangilao",
            "state": "GU",
            "postal_code": "96913",
            "country_code": "US",
            "telephone_number": "671-647-8262 x219",
            "fax_number": "671-648-9202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NICDAO",
        "first_name": "FRANCES",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-08",
        "last_updated": "2021-11-08",
        "certification_date": "2021-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "GU",
            "license": "RX0758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "MANGILAO",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Dededo",
            "address_1": "1244 N Marine Corps Dr",
            "city": "Tamuning",
            "state": "GU",
            "country_code": "US",
            "postal_code": "969134308",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tamuning, GU

Sources for this page

Verify at the official NPI Registry.