STEPHANIE D BRANCH (APN) – Family Nurse Practitioner, NPI 1508134396

STEPHANIE D BRANCH (APN) is a healthcare provider. based in Centralia, Illinois. specializing in NURSE PRACTITIONER. They hold the professional credentials APN. They hold a License No. 209.009208 (IL). The NPI Number for STEPHANIE D BRANCH (APN) is 1508134396

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
STEPHANIE D BRANCH (APN)
NPI
1508134396
Phone
(618) 322-5120
Address
2976 COTTON LN
Enumeration Date
7 December 2011
Last Update Date
30 May 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6188995001
Graduation Year
2011 (15 years ago)
PAC ID
3678719143
Group Practice PAC ID
3971764762
Professional Enrollment ID
I20130429000636
Address ID
IL628649665MO5100XNEXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:14State licenses:1Digital endpointsOther names

11,632 NURSE PRACTITIONER in IL

Provider Addresses for STEPHANIE D BRANCH (APN)

  • 2976 COTTON LN

    CENTRALIA, IL 628019569

    Phone: (618) 322-5120

    Type: Mailing

  • 1201 RICKER RD

    SALEM, IL 628814263

    Phone: (618) 548-3194

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 15 Open Payments records for all available years, with a total value of $310.

Total Amount is formed as General ($310) + Research ($0) + Ownership ($0) = $310.

Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Novo Nordisk Inc ($152).

Total Amount

$310

General + Research + Ownership

Payments

15

Total payment records

General Amount

$310

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-12

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2013-04-29

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
I20130429000636INurse PractitionerILTBD

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 62801)

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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: 3971764762View full group profile
NameSpecialtyState
Nurse PractitionerIL
Nurse PractitionerIL
Nurse PractitionerIL
Physical Therapist In Private PracticeIL
C H I R O P R A C T I CIL
Family PracticeIL
C H I R O P R A C T I CIL
Clinical PsychologistIN
Nurse PractitionerMN
Nurse PractitionerIL

Reviews

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Frequently asked questions

How do I look up STEPHANIE D BRANCH (APN) by NPI?
Use NPI 1508134396 when you need to reference STEPHANIE D BRANCH (APN) in forms, claims, or directories.
Does this profile mean STEPHANIE D BRANCH (APN) is currently active?
Yes — STEPHANIE D BRANCH (APN) appears active in the national provider directory.
Does STEPHANIE D BRANCH (APN) list a primary specialty?
If you are matching referrals, note Family Nurse Practitioner for STEPHANIE D BRANCH (APN). Clinical services aligned with this taxonomy classification.
What location metadata exists for STEPHANIE D BRANCH (APN)?
The page summarizes Centralia, Illinois for STEPHANIE D BRANCH (APN); expand the address list for detail.
What if Centralia, Illinois seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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