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STEPHANIE TANWANGCO FNP
NPI 1548985203
Nurse Practitioner - Family in Granite City, IL

Active since October 05, 2022PECOS Enrolled
50 NORTHGATE INDUSTRIAL DR, GRANITE CITY, IL 62040(618) 877-4420 Get Directions Write a Review

NPPES record last updated: December 13, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 13, 2022, Oct 5, 2022 (2 updates tracked since 2022).

About Stephanie Tanwangco Fnp NPPES

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

STEPHANIE TANWANGCO FNP (NPI 1548985203) is an individual family provider in Granite City, Illinois, licensed in Illinois (209.026111) and active in the NPI registry since October 2022. She is enrolled in Medicare PECOS, is affiliated with Hshs St Elizabeth's Hospital, and maintains a secondary practice location in Crestwood.

NPPES Registry Identity

NPI1548985203
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSTEPHANIE TANWANGCOCredential: FNP
Location Address50 NORTHGATE INDUSTRIAL DRGranite City, IL 62040-6805
Mailing Address448 Wylie DrNormal, IL 61761-5405 · (888) 924-3786
Phone(618) 877-4420
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateOctober 5, 2022
Last NPPES UpdateDecember 13, 20222 updates tracked since enumeration
NPPES CertifiedDecember 13, 2022
✔ NPI 1548985203 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 · 209.026111
50 NORTHGATE INDUSTRIAL DR, Granite City, IL 62040
Open in Google Maps ↗

Secondary Practice Location 1

Location 113448 Cicero AveCrestwood, IL 60418-1430 · Phone (708) 682-3384

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stephanie Tanwangco Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2264801562
PECOS Enrollment IDI20221208001172
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Stephanie Tanwangco reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Chestnut Health Systems Inc.
8.1 mi
Mental Health (Including Community Mental Health Center)
337 E FERGUSON AVE
Wood River, IL 62095
  • Reassigned Medicare billing, Illinois enrollment
  • 90 clinicians in this Medicare group
NPI 1235941311 (618) 877-4420
Wellnow Urgent Care, PC
787 mi
Urgent Care
7375 OSWEGO RD, SUITE1
Liverpool, NY 13090
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: Wellnow Urgent Care, P.C.
  • 195 clinicians in this Medicare group
NPI 1669825162 (716) 699-9032

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62040 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.

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.

KRISTLE KAPP LCPC
Counselor (Mental Health)
50 NORTHGATE INDUSTRIAL DR
GRANITE CITY, IL 62040
Madison County (618) 877-4420
JILLIAN MCCAMMACK LPC
Counselor
50 NORTHGATE INDUSTRIAL DR
GRANITE CITY, IL 62040
Madison County (618) 877-4420
MS. STACY R DIERKS BA, CADC
Counselor (Addiction (Substance Use Disorder))
50 NORTHGATE INDUSTRIAL DR
GRANITE CITY, IL 62040
Madison County (618) 877-4420
MR. JAMES AARON SHULTZ
Counselor (Addiction (Substance Use Disorder))
50 NORTHGATE INDUSTRIAL DR
GRANITE CITY, IL 62040
Madison County (618) 877-4420
MS. PATRICIA ANN NORTHCUTT LCSW
Social Worker (Clinical)
50 NORTHGATE INDUSTRIAL DR
GRANITE CITY, IL 62040
Madison County (618) 877-4420
DR. JAIME ANN CAMPBELL DNP, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
50 NORTHGATE INDUSTRIAL DR
GRANITE CITY, IL 62040
Madison County (618) 512-1919
LAINIE JOY BARRON
Counselor (Mental Health)
50 NORTHGATE INDUSTRIAL DR
GRANITE CITY, IL 62040
Madison County (618) 877-4420
TERRI MILTON LPC
Counselor (Mental Health)
50 NORTHGATE INDUSTRIAL DR
GRANITE CITY, IL 62040
Madison County (618) 877-4420

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 Stephanie Tanwangco's NPI number?

The NPI number for Stephanie Tanwangco is 1548985203. It was assigned to this individual provider in the NPPES registry on October 5, 2022.

Where is Stephanie Tanwangco located?

Stephanie Tanwangco practices at 50 Northgate Industrial Dr, Granite City, IL 62040. The listed phone number is (618) 877-4420.

What is Stephanie Tanwangco's specialty?

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

Is Stephanie Tanwangco enrolled in Medicare?

Yes. Stephanie Tanwangco is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Stephanie Tanwangco's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stephanie Tanwangco reassigns Medicare benefits to 2 organizations: Chestnut Health Systems Inc. (Wood River, IL) and Wellnow Urgent Care, PC (Liverpool, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Stephanie Tanwangco's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Stephanie Tanwangco accept?

Health plans from Medica list Stephanie Tanwangco 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 Stephanie Tanwangco affiliated with any hospitals?

According to CMS data, Stephanie Tanwangco is affiliated with Hshs St Elizabeth's Hospital.

When was this NPI record last updated?

The NPPES record for Stephanie Tanwangco was last updated on December 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.