Active NPI
Nicole Lynn McQuillan, PA-C
- Medical Physician Assistant
- Harrisburg, PA
National Provider Identifier
1942967294
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 063183
- Practice address
- 111 S Front St
Harrisburg, PA 17101-2010 - Phone
- (717) 988-0000
- Fax
- (717) 782-5716
- NPI assigned
- Nov 22, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 063183 | PA | Primary |
| Medical Physician Assistant | 363AM0700X | 005930 | PA |
Addresses
Primary practice location
111 S Front St
Harrisburg, PA 17101-2010
Mailing address
604 Stoney Run Rd
Pottsville, PA 17901-8729
Phone (570) 933-0890
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, MT
- 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
- Physician Assistant
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2475 E Broadway St
Helena, MT 59601-4928
Phone (406) 442-2480
Hospital & facility affiliations
- St Peters Health
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.46 of 100
- Quality
- 92.17
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 78.87
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 005930 | PA | MD | Medical Physician Assistant |
| 063183 | PA | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lewis and Clark Emergency Physicians P C | Current | Accepting new patients |
Locations
2475 E Broadway St
Helena, MT 59601
Phone (406) 442-2480
Interoperability endpoints
- nmcquillan296306@upmc.direct-ci.com
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.
-
- Emergency Medicine Physician
- Helena, MT
- NPI 1083668651
-
- Emergency Medicine Physician
- Harrisburg, PA
- NPI 1487693404
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Helena, MT
- NPI 1528023520
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1637539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637884800000",
"number": "1942967294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "604 STONEY RUN RD",
"city": "POTTSVILLE",
"state": "PA",
"postal_code": "179018729",
"telephone_number": "570-933-0890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 S FRONT ST",
"city": "HARRISBURG",
"state": "PA",
"postal_code": "171012010",
"telephone_number": "717-988-0000",
"fax_number": "717-782-5716"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCQUILLAN",
"first_name": "NICOLE",
"middle_name": "LYNN",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-11-22",
"last_updated": "2021-11-26",
"certification_date": "2021-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "PA",
"license": "063183",
"primary": true
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "PA",
"license": "005930",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Harrisburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2021; 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.