MARY THISBE QUILAB
NPI 1083228480
Nurse Practitioner - Family in Fort Eustis, VA

Q: What is Mary Thisbe Quilab's NPI number?

The NPI number for Mary Thisbe Quilab is 1083228480. It was assigned to this individual provider in the NPPES registry on September 2, 2020.

Q: What is Mary Thisbe Quilab's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since September 02, 2020PECOS Enrolled

576 JEFFERSON AVE, FORT EUSTIS, VA 23604(757) 914-6794 Get Directions Write a Review

NPPES record last updated: February 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 11, 2025, Aug 18, 2022, Sep 2, 2020 (3 updates tracked since 2020).

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About Mary Thisbe Quilab NPPES

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

MARY THISBE QUILAB (NPI 1083228480) is an individual family provider in Fort Eustis, Virginia, licensed in Florida (11008948) and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083228480

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMARY THISBE QUILAB

Location Address576 JEFFERSON AVEFort Eustis, VA 23604-1373

Mailing Address576 Jefferson AveFort Eustis, VA 23604-1373

Phone(757) 914-6794

Sole ProprietorYes

Enumeration DateSeptember 2, 2020

Last NPPES UpdateFebruary 11, 20253 updates tracked since enumeration

NPPES CertifiedFebruary 11, 2025

✔ NPI 1083228480 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in FL · 11008948

576 JEFFERSON AVE, Fort Eustis, VA 23604

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary Thisbe Quilab is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23604 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

$86.88 typical visit price

range $56.19 – $170.30

Typical copayment $21.72 (range $14.04 – $42.57)

Most-billed visit code 99203

Established Patient

$99.13 typical visit price

range $18.07 – $138.91

Typical copayment $24.78 (range $4.51 – $34.72)

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.

Other Providers at the Same Location NPPES 20

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

MS. SAMANTHA NICHOLE ROBERT LPTA

Physical Therapy Assistant

576 JEFFERSON AVE, MCDONALD ARMY HEALTH CENTER
FORT EUSTIS, VA 23604

Newport News City (757) 314-7616

KATHRYN GRACE MCCARN PT, DPT

Physical Therapist