Individual provider Active NPI

Stephanie Quach

  • Adult Health Nurse Practitioner
  • Orlando, FL
National Provider Identifier
1316488976
Registry record updated Dec 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
APRN11035871 Issued in FL
Practice address
1717 S Orange Ave Ste 103
Orlando, FL 32806-2946
Phone
(321) 841-4344
Fax
(321) 843-1753
NPI assigned
Mar 15, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 24, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP9353574 FL
Family Nurse Practitioner 363LF0000X 209.015223 IL
Adult Health Nurse Practitioner 363LA2200X APRN11035871 FL Primary

Addresses

Primary practice location

1717 S Orange Ave Ste 103
Orlando, FL 32806-2946

Mailing address

1717 S Orange Ave Ste 103
Orlando, FL 32806-2946
Phone (321) 841-4344

Other practice location 1

880 W Central Rd Ste 4500
Arlington Heights, IL 60005-2388
Phone (847) 725-8640

Other identifiers 1

IdentifierTypeStateIssuer
209015223OtherILSTATE LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address squach113566@direct.nch.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170925003273 IL Practitioner - Nurse Practitioner 1355615600 Reassigns benefits to 2 organizations
I20250113001785 FL Practitioner - Nurse Practitioner 1355615600 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orlando Health Medical Group IncGroup PAC ID 9537059084, 2,171 clinicians

Practice addresses (Care Compare)

1717 S Orange Ave
Orlando, FL 32806-2944
Phone (407) 896-1100

Hospital & facility affiliations

  • Orlando Health Hospital, Orlando, FL, CCN 100006
  • Orlando Health South Lake Hospital Hospital, Clermont, FL, CCN 100051
  • Orlando Health-Health Central Hospital Hospital, Ocoee, FL, CCN 100030

Merit-based Incentive Payment System (MIPS)

Final score
84.9 of 100Reported as group
Quality
75.91
Promoting interoperability
99
Improvement activities
40
Cost
74.6

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN11035871FLMDAdult Health Nurse Practitioner
ARNP9353574FLMDFamily Nurse Practitioner
209.015223ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Endeavor Health Medical Group CurrentSince Nov 9, 2023 Accepting new patients
Northwest Community Health Services Inc CurrentSince Oct 23, 2017 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Dec 1, 2024 Accepting new patients
Endeavor Health Medical Group CurrentSince Nov 9, 2023 Accepting new patients
Northwest Community Health Services Inc CurrentSince Oct 23, 2017 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Dec 1, 2024 Accepting new patients

Locations

1717 S Orange Ave
Ste 103
Orlando, FL 32806
Phone (407) 236-0404

32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820

1717 S Orange Ave
Orlando, FL 32806
Phone (407) 422-6798

7300 Sandlake Commons Blvd
Ste 127
Orlando, FL 32819
Phone (321) 841-9025

3060 W Salt Creek Ln
Arlington Heights, IL 60005
Phone (847) 618-3487

1051 W Rand Rd
Arlington Hts, IL 60004
Phone (847) 221-4601

880 W Central Rd
Ste 4500
Arlington Hts, IL 60005
Phone (847) 398-2777

1450 Busch Pkwy
Buffalo Grove, IL 60089
Phone (847) 459-7860

25233 Network Pl
Chicago, IL 60673

9532 Eagle Way
Chicago, IL 60678

2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206

2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: squach113566@direct.nch.org

Organizations & group practices 6

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1489536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734998400000",
    "number": "1316488976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 S ORANGE AVE STE 103",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328062946",
            "telephone_number": "321-841-4344",
            "fax_number": "321-843-1753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 S ORANGE AVE STE 103",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328062946",
            "telephone_number": "321-841-4344",
            "fax_number": "321-843-1753"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "880 W Central Rd Ste 4500",
            "address_purpose": "LOCATION",
            "city": "Arlington Heights",
            "state": "IL",
            "postal_code": "600052388",
            "country_code": "US",
            "telephone_number": "847-725-8640",
            "fax_number": "847-394-2777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QUACH",
        "first_name": "STEPHANIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-15",
        "last_updated": "2024-12-24",
        "certification_date": "2024-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9353574",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.015223",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "APRN11035871",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "209015223",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "squach113566@direct.nch.org",
            "affiliation": "N",
            "address_1": "880 W Central Rd Ste 4500",
            "city": "Arlington Heights",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600052388",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.