Individual provider Active NPI

Maria Luisa Quidilla, FNP

  • Family Nurse Practitioner
  • Staten Island, NY
National Provider Identifier
1740562586
Registry record updated Sep 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F336855-1 Issued in NY
Practice address
38 Lincoln St
Staten Island, NY 10314-5667
Phone
(917) 757-1423
NPI assigned
Sep 19, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F336855-1 NY Primary

Addresses

Primary practice location

38 Lincoln St
Staten Island, NY 10314-5667

Mailing address

38 Lincoln Street
Staten Island, NY 10314
Phone (917) 757-1423

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NV, CO3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20211213000790 NY Practitioner - Nurse Practitioner 5193115863 Reassigns benefits to 1 organization
I20220321000867 NV Practitioner - Nurse Practitioner 5193115863 Reassigns benefits to 1 organization
I20260529000673 CO Practitioner - Nurse Practitioner 5193115863 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Villagehealth DM LLCGroup PAC ID 2769812445, 161 clinicians

Practice addresses (Care Compare)

209 W County Line Rd
Highlands Ranch, CO 80129-1901
Phone (303) 730-6164

861 Coronado Ctr Dr
Suite 212
Henderson, NV 89052-3992
Phone (303) 405-2100

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F336855-1NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Villagehealth DM LLC CurrentSince Feb 7, 2022 Accepting new patients
Medical Group of New York, P.C. Family CurrentSince Oct 21, 2021 Accepting new patients

Locations

209 W County Line Rd
Highlands Ranch, CO 80129
Phone (303) 730-6164

3045 E St Lukes St
Ste 105
Meridian, ID 83642
Phone (208) 872-2174

861 Coronado Center Dr
Ste 212
Henderson, NV 89052
Phone (303) 405-2100

3101 Ditmars Blvd
Astoria, NY 11105
Phone (718) 545-0128

107 S Country Rd
Bellport, NY 11713
Phone (631) 286-2222

7960 Metropolitan Ave
Middle Village, NY 11379
Phone (718) 326-4910

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 2

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 1

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": "1316390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316390400000",
    "number": "1740562586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 LINCOLN STREET",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "10314",
            "telephone_number": "917-757-1423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 LINCOLN ST",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103145667",
            "telephone_number": "917-757-1423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUIDILLA",
        "first_name": "MARIA",
        "middle_name": "LUISA",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-19",
        "last_updated": "2011-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F336855-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.