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MICHELLE DENISE MCQUILLAN DNP, FNP-BC
NPI 1013533819
Nurse Practitioner in O'fallon, IL

Active since June 18, 2020PECOS EnrolledAccepts Medicare Assignment
77.67/100
CMS Quality Rating
321 REGENCY PARK, O'FALLON, IL 62269(618) 416-7970(618) 416-7971 Get Directions Write a Review

NPPES record last updated: December 13, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 13, 2024, Dec 22, 2022, Jun 18, 2020 (3 updates tracked since 2020).

About Michelle Denise Mcquillan Dnp, Fnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHELLE DENISE MCQUILLAN DNP, FNP-BC (NPI 1013533819) is an individual nurse practitioner in O'fallon, Illinois, licensed in Illinois (209.021778) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS, is affiliated with St Josephs Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1013533819
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMICHELLE DENISE MCQUILLANCredential: DNP, FNP-BC
Location Address321 REGENCY PARKO'fallon, IL 62269
Mailing Address210 W. Mckinley Ave., Suite 1Decatur, IL 62526 · (217) 877-9442 · Fax (217) 233-1670
Phone(618) 416-7970
Fax(618) 416-7971
Sole ProprietorNo
Medical School CMSSouthern Illinois University School Of MedicineGraduated 2020
Enumeration DateJune 18, 2020
Last NPPES UpdateDecember 13, 20243 updates tracked since enumeration
NPPES CertifiedDecember 13, 2024
✔ NPI 1013533819 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in IL · 209.021778
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 209021778 (IL)
321 REGENCY PARK, O'fallon, IL 62269
Open in Google Maps ↗

Secondary Practice Locations 3

Location 19515 Holy Cross Ln Ste 6Breese, IL 62230-3618 · Phone (618) 526-8585 · Fax (618) 526-2855
Location 21052 M L King Dr Ste 2Centralia, IL 62801-3002 · Phone (618) 436-5410 · Fax (618) 436-8063
Location 3213 NW 10th St Ste DFairfield, IL 62837-1219 · Phone (217) 329-3232 · Fax (618) 847-8398

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Michelle Denise Mcquillan Dnp, Fnp-bc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8123445673
PECOS Enrollment IDI20200828000495
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
38 services35 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
33 services31 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Josephs Hospital

Acute Care Hospitals · Breese, IL
OwnershipVoluntary non-profit - Church
CMS Certification Number140145
Location9515 Holy Cross LnBreese, IL 62230 · Clinton County
Emergency services Birthing friendly

Hshs St Elizabeth's Hospital

Acute Care Hospitals · O Fallon, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140187
LocationOne St Elizabeth BoulevardO Fallon, IL 62269 · St. Clair County
Emergency services Birthing friendly

Fairfield Memorial Hospital 1

Critical Access Hospitals · Fairfield, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number141311
Location303 N W 11th StreetFairfield, IL 62837 · Wayne County
Emergency services

Memorial Hospital

Critical Access Hospitals · Chester, IL
OwnershipGovernment - Hospital District or Authority
CMS Certification Number141338
Location1900 State StChester, IL 62233 · Randolph County
Emergency services

Sparta Community Hospital

Critical Access Hospitals · Sparta, IL
OwnershipGovernment - Hospital District or Authority
CMS Certification Number141349
Location818 E BroadwaySparta, IL 62286 · Randolph County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62269 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.44 typical visit price
range $56.28 – $173.35
Typical copayment $22.11 (range $14.07 – $43.33)
Most-billed visit code 99203
Established Patient
$99.71 typical visit price
range $17.51 – $139.99
Typical copayment $24.92 (range $4.37 – $34.99)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

77.67/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.39
Promoting Interoperability83
Improvement Activities40
Cost52.7

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CAMILLE M. WILLIAMS M.D.
Radiology (Radiation Oncology)
321 REGENCY PARK
O FALLON, IL 62269
St. Clair County (314) 377-3833
BRITTNEY HARPER
Nurse Practitioner (Family)
321 REGENCY PARK
O FALLON, IL 62269
St. Clair County (618) 416-7970

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michelle Mcquillan's NPI number?

The NPI number for Michelle Mcquillan is 1013533819. It was assigned to this individual provider in the NPPES registry on June 18, 2020.

Where is Michelle Mcquillan located?

Michelle Mcquillan practices at 321 Regency Park, O'fallon, IL 62269. The listed phone number is (618) 416-7970.

What is Michelle Mcquillan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Michelle Mcquillan enrolled in Medicare?

Yes. Michelle Mcquillan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Michelle Mcquillan accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Michelle Mcquillan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Michelle Mcquillan affiliated with any hospitals?

According to CMS data, Michelle Mcquillan is affiliated with St Josephs Hospital, Hshs St Elizabeth's Hospital, Fairfield Memorial Hospital 1, Memorial Hospital and Sparta Community Hospital.

When was this NPI record last updated?

The NPPES record for Michelle Mcquillan was last updated on December 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.