NICOLE LYNN MCQUILLAN (PA-C) – Medical Physician Assistant, NPI 1942967294
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,691 PHYSICIAN ASSISTANT in PA
Provider Addresses for NICOLE LYNN MCQUILLAN (PA-C)
604 STONEY RUN RD
POTTSVILLE, PA 179018729
Phone: (570) 933-0890
Type: Mailing
111 S FRONT ST
HARRISBURG, PA 171012010
Phone: (717) 988-0000
Fax: (717) 782-5716
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2025-10-23
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 |
|---|---|---|---|---|
| I20220308000035 | I | Physician Assistant | PA | TBD |
| I20251023003717 | I | Physician Assistant | MT | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99285 | Emergency department visit with high level of medical decision making | 35 | 35 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 33 | 32 | $0 |
Insurance plans in this area (ZIP 17901)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | MT | |
| - | MT | |
| Emergency Medicine | MT | |
| Emergency Medicine | OH | |
| Emergency Medicine | MT | |
| Emergency Medicine | PA | |
| Physician Assistant | MT | |
| Emergency Medicine | WV |
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