MR. COLLIN PATRICK MAGILLIGAN (FNP) – Family Nurse Practitioner, NPI 1194377325

MR. COLLIN PATRICK MAGILLIGAN (FNP) is a healthcare provider. based in O fallon, Illinois. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 2019022744 (MO). The NPI Number for MR. COLLIN PATRICK MAGILLIGAN (FNP) is 1194377325

Main info

Male
15 Years Of Experience
Accepts Medicare Assignment
Name
MR. COLLIN PATRICK MAGILLIGAN (FNP)
NPI
1194377325
Phone
(618) 628-8211
Address
916 TALON DR
Enumeration Date
9 July 2019
Last Update Date
13 September 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3142662066
Graduation Year
2011 (15 years ago)
PAC ID
4385076967
Group Practice PAC ID
7113302191
Professional Enrollment ID
I20200713000182
Address ID
MO631416848SA425XXRDXX501

Contacts

FHIR Endpoint
https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness85
Years active:6State licenses:1Other namesUpdated within 12 months

11,632 NURSE PRACTITIONER in IL

Provider Addresses for MR. COLLIN PATRICK MAGILLIGAN (FNP)

  • 916 TALON DR

    O FALLON, IL 622691848

    Phone: (618) 628-8211

    Type: Mailing

  • 660 S EUCLID AVE

    CB 8518

    SAINT LOUIS, MO 631101010

    Phone: (314) 747-2500

    Fax: (314) 747-2598

    Type: Mailing

  • 14532 S OUTER 40 RD

    STE 200

    CHESTERFIELD, MO 630175705

    Phone: (314) 514-3913

    Fax: (314) 514-3534

    Type: Location

  • 425 N NEW BALLAS RD STE 230

    SAINT LOUIS, MO 631416848

    Phone: (314) 266-2066

    Fax: (314) 266-2069

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $13.

Total Amount is formed as General ($13) + Research ($0) + Ownership ($0) = $13.

Last reported payment date: 2024-01-08 • Largest payer in this snapshot: Stryker Corporation ($13).

Total Amount

$13

General + Research + Ownership

Payments

1

Total payment records

General Amount

$13

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-01-08

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Stryker Corporation$13
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: 2020-07-13

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
I20200713000182INurse PractitionerMOTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 62269)

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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: 7113302191View full group profile
NameSpecialtyState
Sports Medicine, Orthopedic SurgeryMN
Orthopedic Surgery, Sports MedicineMO

Reviews

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Frequently asked questions

Where can patients find MR. COLLIN PATRICK MAGILLIGAN (FNP)'s NPI?
You can confirm MR. COLLIN PATRICK MAGILLIGAN (FNP) with NPI 1194377325; it appears in the national provider directory.
Is MR. COLLIN PATRICK MAGILLIGAN (FNP)'s NPI currently valid?
The extract we use shows MR. COLLIN PATRICK MAGILLIGAN (FNP) as active.
What kind of provider is MR. COLLIN PATRICK MAGILLIGAN (FNP)?
The page reflects Family Nurse Practitioner for MR. COLLIN PATRICK MAGILLIGAN (FNP). Clinical services aligned with this taxonomy classification.
What location shows for MR. COLLIN PATRICK MAGILLIGAN (FNP)?
We surface O Fallon, Illinois for MR. COLLIN PATRICK MAGILLIGAN (FNP) based on available NPPES addresses.
Is MR. COLLIN PATRICK MAGILLIGAN (FNP) a real provider?
This page reflects official NPPES data for NPI 1194377325. Always confirm identity and privileges with the practice and licensing boards.

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