Individual provider Active NPI

Stephanie McMaken, APRN, CNP

  • Pediatric Nurse Practitioner
  • Galesburg, IL
National Provider Identifier
1245841238
Registry record updated Sep 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
209.023647 Issued in IL
Practice address
834 N Seminary St
Galesburg, IL 61401-2852
Phone
(309) 344-1114
NPI assigned
Aug 12, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 209.023647 IL Primary

Addresses

Primary practice location

834 N Seminary St
Galesburg, IL 61401-2852

Mailing address

834 N Seminary St
Galesburg, IL 61401-2852
Phone (309) 344-1114

Other names 1

  • Stephanie Stokes Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211203001980 IL Practitioner - Nurse Practitioner 4880084987 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Certified Pediatric Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
209.023647ILMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Osf Multi-Specialty Group CurrentSince Dec 1, 2022 Accepting new patients
Siu Physicians & Surgeons, Inc CurrentSince Dec 13, 2021 Accepting new patients
Siu Physicians & Surgeons, Inc CurrentSince Dec 13, 2021 Accepting new patients
St Mary Medical Center CurrentSince Feb 1, 2024 Accepting new patients
Osf Multi-Specialty Group CurrentSince Dec 1, 2022 Accepting new patients
St Mary Medical Center CurrentSince Feb 1, 2024 Accepting new patients
Central PA Pharmacy LLC. Current Accepting new patients
St Mary Medical Center Current Accepting new patients
St Mary Medical Center Past Accepting new patients

Locations

695 N Kellogg St
Galesburg, IL 61401
Phone (309) 343-8131

3315 N Seminary St
Ste 206
Galesburg, IL 61401
Phone (309) 344-1000

834 N Seminary St
Galesburg, IL 61401
Phone (309) 343-5114

834 N Seminary St
Ste 200
Galesburg, IL 61401

834 N Seminary St
Ste 402
Galesburg, IL 61401
Phone (309) 343-2640

834 N Seminary St
Ste 405
Galesburg, IL 61401
Phone 3093435114 ext. 61072

124 SW Adams St
Peoria, IL 61602
Phone (309) 655-2850

8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050

201 E Madison St
Ste 328
Springfield, IL 62702

400 N 9th St
Springfield, IL 62702
Phone (217) 545-6498

301 N 8th St
Springfield, IL 62701
Phone (217) 545-0003

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1597190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757635200000",
    "number": "1245841238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "834 N SEMINARY ST",
            "city": "GALESBURG",
            "state": "IL",
            "postal_code": "614012852",
            "telephone_number": "309-344-1114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "834 N SEMINARY ST",
            "city": "GALESBURG",
            "state": "IL",
            "postal_code": "614012852",
            "telephone_number": "309-344-1114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMAKEN",
        "first_name": "STEPHANIE",
        "credential": "APRN, CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-12",
        "last_updated": "2025-09-12",
        "certification_date": "2025-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "IL",
            "license": "209.023647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "STOKES",
            "credential": "APRN, CNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Galesburg, IL

Sources for this page

Verify at the official NPI Registry.