STEPHANIE RAE MCQUILLIN (APRN) – Family Nurse Practitioner, NPI 1023503570

STEPHANIE RAE MCQUILLIN (APRN) is a healthcare provider. based in Wasilla, Alaska. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 133098 (AK). The NPI Number for STEPHANIE RAE MCQUILLIN (APRN) is 1023503570

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
STEPHANIE RAE MCQUILLIN (APRN)
NPI
1023503570
Phone
(907) 376-9321
Address
1751 E GARDNER WAY STE E
Enumeration Date
27 June 2018
Last Update Date
13 November 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9073755200
Graduation Year
2018 (8 years ago)
PAC ID
6901140409
Group Practice PAC ID
0840299186
Professional Enrollment ID
I20181211001917
Address ID
AK995085235AN4015XPKWY404
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:7State licenses:1Digital endpointsOther names

761 NURSE PRACTITIONER in AK

Provider Addresses for STEPHANIE RAE MCQUILLIN (APRN)

  • 1751 E GARDNER WAY STE E

    WASILLA, AK 996546564

    Phone: (907) 376-9321

    Fax: (907) 376-9322

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 24 Open Payments records for all available years, with a total value of $307.

Total Amount is formed as General ($307) + Research ($0) + Ownership ($0) = $307.

Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($131).

Total Amount

$307

General + Research + Ownership

Payments

24

Total payment records

General Amount

$307

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-10

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-12-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20181211001917INurse PractitionerAKTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes473353$0
99215Established patient office or other outpatient visit, 40-54 minutes4640$0
99205New patient office or other outpatient visit, 60-74 minutes2929$0
View full utilization report →

Insurance plans in this area (ZIP 99654)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0840299186View full group profile
NameSpecialtyState
Nephrology, Internal MedicineAK
Physician AssistantTX
N E P H R O L O G YAK
N E P H R O L O G YAK
Nurse PractitionerAK
-AK
-NY
N E P H R O L O G YLA
Nurse PractitionerAK
N E P H R O L O G YAK

Reviews

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Frequently asked questions

What federal number belongs to STEPHANIE RAE MCQUILLIN (APRN)?
The federal identifier for STEPHANIE RAE MCQUILLIN (APRN) is NPI 1023503570.
Is STEPHANIE RAE MCQUILLIN (APRN) active in the national directory?
STEPHANIE RAE MCQUILLIN (APRN)'s public NPI profile is in an active state.
Can you summarize STEPHANIE RAE MCQUILLIN (APRN)'s specialty in plain language?
Clinically, the directory lists STEPHANIE RAE MCQUILLIN (APRN) with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is STEPHANIE RAE MCQUILLIN (APRN)'s primary listing?
We display Wasilla, Alaska because that is what the record indicates for STEPHANIE RAE MCQUILLIN (APRN).
How can I contact STEPHANIE RAE MCQUILLIN (APRN)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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