Quinn Andrew Stillson, MD

Primary specialty

Integrative Medicine PhysicianTaxonomy code 202D00000X

License

01094239A Issued in IN

Practice address

1004 Parkway Ave Ste C
Elkhart, IN 46516-9349

Phone

(574) 294-1883

NPI assigned

Mar 2, 2022

Last updated

Sep 4, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jan 21, 2025 through Jan 21, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Crossroads Healing Arts, LLC

  • Family Medicine Physician
  • Elkhart, IN
  • NPI 1295028694
  NPD (past)

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

{
    "created_epoch": "1646179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725408000000",
    "number": "1467109231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1004 PARKWAY AVE STE C",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465169349",
            "telephone_number": "574-294-1883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 PARKWAY AVE STE C",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465169349",
            "telephone_number": "574-294-1883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STILLSON",
        "first_name": "QUINN",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-02",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "202D00000X",
            "taxonomy_group": "",
            "desc": "Integrative Medicine",
            "state": "IN",
            "license": "01094239A",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "125081732",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Naomi Sterling, BS
• Lyn Marie Stevens, NP
• Willis W Stevenson III, MD
• Nautica Steward
• John Richard Stewart, D.D.S.
• Reed Stockman, CRNA
• Elizabeth Marie Stockwell, AUD
• Tara Lynn Stokes, CNM
• Victoria Anne Stoller, OTD
• Emily Marie Stout, D.D.S

• Integrative Medicine Physician in Elkhart, IN
• Providers in Elkhart, IN by specialty
• Integrative Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.