STEPHANIE T. FANALE APRN
NPI 1225592470
Nurse Practitioner - Family in Springfield, IL

Q: What is Stephanie Fanale's NPI number?

The NPI number for Stephanie Fanale is 1225592470. It was assigned to this individual provider in the NPPES registry on January 22, 2019. The provider is also known as Stephanie T. Flatt.

Q: What is Stephanie Fanale's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Stephanie Fanale was last updated on June 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.

Active since January 22, 2019PECOS EnrolledAccepts Medicare Assignment

1025 S 6TH ST, SPRINGFIELD, IL 62703(217) 528-7541(217) 527-8194 Get Directions Write a Review

NPPES record last updated: June 18, 2020. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Jun 18, 2020, Jan 22, 2019 (2 updates tracked since 2019).

On this page

About Stephanie T. Fanale Aprn NPPES

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

STEPHANIE T. FANALE APRN (NPI 1225592470) is an individual family provider in Springfield, Illinois, licensed in Illinois (209018667) and active in the NPI registry since January 2019. She is enrolled in Medicare PECOS, is affiliated with Memorial Medical Center, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1225592470

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameSTEPHANIE T. FANALECredential: APRN

Location Address1025 S 6TH STSpringfield, IL 62703-2403

Mailing Address1025 S 6th StSpringfield, IL 62703-2499 · (217) 528-7541

Phone(217) 528-7541

Fax(217) 527-8194

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateJanuary 22, 2019

Last NPPES UpdateJune 18, 20202 updates tracked since enumeration

NPPES CertifiedJune 18, 2020

✔ NPI 1225592470 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 IL · 209018667

1025 S 6TH ST, Springfield, IL 62703

Open in Google Maps ↗

Other Names 1

Former Name (1)Stephanie T. Flatt

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

Stephanie T. Fanale Aprn 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 ID7618216888

PECOS Enrollment IDI20190306000059

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

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.

Creation of drainage tract from tear sac to nasal cavity 68720

This procedure, called Dacryocystorhinostomy, creates a new pathway for tears to drain from your eye into your nose. It's done when the natural tear duct is blocked or not working properly. It helps prevent tear overflow and eye infections.

14 services14 patients

Hospital Affiliations CMS Care Compare

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

Memorial Medical Center

Acute Care Hospitals · Springfield, IL

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140148

Location701 N First StSpringfield, IL 62702 · Sangamon County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62703 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

$85.71 typical visit price

range $54.80 – $168.44

Typical copayment $21.42 (range $13.70 – $42.11)

Most-billed visit code 99203

Established Patient

$97.25 typical visit price

range $17.16 – $136.56

Typical copayment $24.31 (range $4.29 – $34.14)

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.

JEREMY ELLIOTT

Nurse Practitioner (Family)