KATHERINE SHANON MCQUILLAN (APNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1285913277
Psychiatric/Mental Health Nurse Practitioner
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Profile Insights
NPPES metrics only — not quality of care.
6,035 NURSE PRACTITIONER in WI
Provider Addresses for KATHERINE SHANON MCQUILLAN (APNP)
1450 Eastside Rd
Platteville, WI 538189800
Phone: (608) 348-4330
Type: Location
507 S MONROE ST
LANCASTER, WI 538132054
Phone: (608) 723-2131
Type: Location
500 S MADISON ST STE 1
LANCASTER, WI 538132045
Phone: (608) 375-4144
Fax: (608) 375-5629
Type: Location
1450 EASTSIDE RD
PLATTEVILLE, WI 538189800
Phone: (608) 348-4330
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: 2011-09-12
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20110912000736 | 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 53818)
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Group practice members
- 1
- 2
- 3
- 4
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | WI | |
| - | WI | |
| Certified Registered Nurse Anesthetist (Crna) | WI | |
| General Surgery | WI | |
| Physical Therapist In Private Practice | WI | |
| Hospitalist, Family Practice | WI | |
| Certified Registered Nurse Anesthetist (Crna) | IA | |
| O T O L A R Y N G O L O G Y | IL | |
| Physical Therapist In Private Practice | WI | |
| Pain Management | WI |
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