KATHERINE SHANON MCQUILLAN (APNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1285913277

KATHERINE SHANON MCQUILLAN (APNP) is a healthcare provider. based in Platteville, Wisconsin. specializing in NURSE PRACTITIONER. They hold the professional credentials APNP. They hold a License No. 4494-33 (WI). The NPI Number for KATHERINE SHANON MCQUILLAN (APNP) is 1285913277

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
KATHERINE SHANON MCQUILLAN (APNP)
NPI
1285913277
Phone
(608) 348-4330
Address
1450 Eastside Rd
Enumeration Date
9 August 2011
Last Update Date
23 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6087232131
Graduation Year
2011 (15 years ago)
PAC ID
0648441295
Group Practice PAC ID
9638079445
Professional Enrollment ID
I20110912000736
Address ID
WI538132054LA507XXSTXX400

Contacts

Secure Messaging
KMCQUILLAN261787@DIRECT-EHR-SSMHC.COM
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness95
Years active:14State licenses:1Other names

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110912000736INurse PractitionerWITBD

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 53818)

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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: 9638079445View full group profile
NameSpecialtyState
Nurse PractitionerWI
-WI
Certified Registered Nurse Anesthetist (Crna)WI
General SurgeryWI
Physical Therapist In Private PracticeWI
Hospitalist, Family PracticeWI
Certified Registered Nurse Anesthetist (Crna)IA
O T O L A R Y N G O L O G YIL
Physical Therapist In Private PracticeWI
Pain ManagementWI

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Frequently asked questions

What NPI should I save for KATHERINE SHANON MCQUILLAN (APNP)?
Save NPI 1285913277 if you need a stable reference for KATHERINE SHANON MCQUILLAN (APNP).
Does this profile mean KATHERINE SHANON MCQUILLAN (APNP) is currently active?
Yes — KATHERINE SHANON MCQUILLAN (APNP) appears active in the national provider directory.
What kind of provider is KATHERINE SHANON MCQUILLAN (APNP)?
The page reflects Psychiatric/Mental Health Nurse Practitioner for KATHERINE SHANON MCQUILLAN (APNP). Clinical services aligned with this taxonomy classification.
Where does public data place KATHERINE SHANON MCQUILLAN (APNP)?
The snapshot lists Platteville, Wisconsin for KATHERINE SHANON MCQUILLAN (APNP); download NPPES for the complete set.
What if Platteville, Wisconsin seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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