Madison Nicole Stillwell, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

085008444 Issued in IL

Practice address

306 46TH Ave
East Moline, IL 61244-4281

Phone

(309) 796-2329

NPI assigned

Jul 7, 2020

Last updated

Apr 23, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Physician Assistant

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Stone Ridge Medical Group SCGroup PAC ID 8729142534, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Genesis HLTH System Dba Genesis MDL Ctr-Illini Hospital, Silvis, IL, CCN 140275
• Trinity Rock Island Hospital, Rock Island, IL, CCN 140280
• Genesis Medical Center-Davenport Hospital, Davenport, IA, CCN 160033

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/CAIFAA/Endpoint/CAIFAA
• Direct secure messaging: madison.schulenberg.1@13676.direct.athenahealth.com

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

• Stone Ridge Medical Group SC

  • Family Medicine Physician
  • East Moline, IL
  • NPI 1306097894
  Medicare reassignment Care Compare group
• Innovative Platinum Care, SC

  • Family Medicine Physician
  • Chicago, IL
  • NPI 1114397056
  Medicare reassignment

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

• Genesis Health System

  dba Genesis Medical Center - Silvis

  • General Acute Care Hospital
  • Silvis, IL
  • NPI 1427132604
  Care Compare affiliation
• Trinity Medical Center

  dba Trinity Rock Island

  • General Acute Care Hospital
  • Rock Island, IL
  • NPI 1316047632
  Care Compare affiliation
• Genesis Health System

  dba Genesis Medical Center Davenport

  • General Acute Care Hospital
  • Davenport, IA
  • NPI 1972542264
  Care Compare affiliation

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

{
    "created_epoch": "1594080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745366400000",
    "number": "1407474463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 46TH AVE",
            "city": "EAST MOLINE",
            "state": "IL",
            "postal_code": "612444281",
            "telephone_number": "309-796-2329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 46TH AVE",
            "city": "EAST MOLINE",
            "state": "IL",
            "postal_code": "612444281",
            "telephone_number": "309-796-2329"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1111 W 14th Pl Unit 119",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606082796",
            "country_code": "US",
            "telephone_number": "309-798-1682",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1929 10th Ave E",
            "address_purpose": "LOCATION",
            "city": "Milan",
            "state": "IL",
            "postal_code": "612642953",
            "country_code": "US",
            "telephone_number": "309-787-2600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STILLWELL",
        "first_name": "MADISON",
        "middle_name": "NICOLE",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-07",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085008444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Terry Glen Smith, D.C.
• Torri S Smith, LPC
• Kristin Nicole Sparbel, M.S., CCC-SLP
• Amber Spiva, BCBA
• William R Sterba, R.PH.
• Sarah Stock
• Stone Ridge Medical Group SC
• Sujatha Govindaiah, M.D., S.C.
• Jade Swinehart
• Jeni Diane Tackett, RD

• Physician Assistant in East Moline, IL
• Providers in East Moline, IL by specialty
• Physician Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2025; 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.

Verify at the official NPI Registry.