LAQUISHA M STAHL (NP) – Nurse Practitioner, NPI 1518433564
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
11,632 NURSE PRACTITIONER in IL
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Provider Addresses for LAQUISHA M STAHL (NP)
612, Roxbury Road, Regents Park, Rockford, Winnebago County, Illinois, 61107, United States
ROCKFORD, IL 611075089
Phone: (815) 227-8300
Type: Mailing
1650 LEE LANE
BELOIT, WI 53511
Phone: (608) 364-2200
Fax: (608) 364-5452
Type: Location
1969 WEST HART RD
BELOIT, WI 535112283
Phone: (608) 364-5689
Fax: (608) 364-5452
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 $125.
Total Amount is formed as General ($125) + Research ($0) + Ownership ($0) = $125.
Last reported payment date: 2024-06-05 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($125).
Total Amount
$125
General + Research + Ownership
Payments
1
Total payment records
General Amount
$125
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-06-05
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $125 |
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: 2021-10-05
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20181203002063 | I | Nurse Practitioner | IL | TBD |
| I20211005003013 | I | Nurse Practitioner | WI | TBD |
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.
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 61107)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| N E P H R O L O G Y | IL | |
| Internal Medicine, Nephrology | IL | |
| Nephrology, Internal Medicine | IL | |
| N E P H R O L O G Y | IL | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL | |
| Nephrology, Internal Medicine | PA | |
| N E P H R O L O G Y | IL | |
| Nurse Practitioner | WI | |
| Certified Clinical Nurse Specialist (Cns), Nurse Practitioner | IL |
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