Active NPI
Stephanie Quach
- Adult Health Nurse Practitioner
- Orlando, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- APRN11035871
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 209015223 | Other | IL | STATE LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | squach113566@direct.nch.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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
Practice addresses (Care Compare)
1717 S Orange Ave
Orlando, FL 32806-2944
Phone (407) 896-1100
Hospital & facility affiliations
- Orlando Health
- Orlando Health South Lake Hospital
- Orlando Health-Health Central Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.9 of 100
- Quality
- 75.91
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 74.6
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN11035871 | FL | MD | Adult Health Nurse Practitioner |
| ARNP9353574 | FL | MD | Family Nurse Practitioner |
| 209.015223 | IL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Endeavor Health Medical Group | Current | Accepting new patients | |
| Northwest Community Health Services Inc | Current | Accepting new patients | |
| Orlando Health Medical Group Inc | Current | Accepting new patients | |
| Endeavor Health Medical Group | Current | Accepting new patients | |
| Northwest Community Health Services Inc | Current | Accepting new patients | |
| Orlando Health Medical Group Inc | Current | 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
- 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.
-
- Internal Medicine Physician
- Orlando, FL
- NPI 1669429577
-
- Emergency Medicine Physician
- Evanston, IL
- NPI 1497701882
-
- Internal Medicine Physician
- Arlington Heights, IL
- NPI 1134433154
-
- Durable Medical Equipment & Medical Supplies
- Winter Park, FL
- NPI 1265019541
-
- Anesthesiology Physician
- Evanston, IL
- NPI 1265695944
-
- Obstetrics Physician
- Arlington Heights, IL
- NPI 1467057513
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Ocoee, FL
- NPI 1033475959
-
- General Acute Care Hospital
- Orlando, FL
- NPI 1184709057
-
- General Acute Care Hospital
- Clermont, FL
- NPI 1336221019
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.