Individual Healthcare Provider
Michelle Denise Mcquillan, DNP, FNP-BC
Provider's NPPES record last updated: December 13, 2024
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1013533819
- Primary Specialty
- Nurse Practitioner
- Practice Location
- O'fallon, Illinois
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 18, 2026, 12:21 AM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Nurse Practitioner
Physician Assistants & Advanced Practice Nursing Providers
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Taxonomy code 363L00000X Nurse Practitioner
Family
Physician Assistants & Advanced Practice Nursing Providers
Definition to come...
Taxonomy code 363LF0000X
Provider-Reported License Information
- Nurse Practitioner (Illinois)
- 209.021778
- Nurse Practitioner (Illinois)
- 209021778
Practice Locations
Practice Location
321 Regency Park
O'fallon, Illinois 62269
Phone: (618) 416-7970
Additional Practice Location
9515 Holy Cross Ln Ste 6
Breese, Illinois 62230-3618
Phone: (618) 526-8585
Fax: (618) 526-2855
Additional Practice Location
1052 M L King Dr Ste 2
Centralia, Illinois 62801-3002
Phone: (618) 436-5410
Fax: (618) 436-8063
Additional Practice Location
213 Nw 10th St Ste D
Fairfield, Illinois 62837-1219
Phone: (217) 329-3232
Fax: (618) 847-8398
Record Information
- Enumeration Date
- June 18, 2020
- Provider's NPPES Record Last Updated
- December 13, 2024
- Certification Date
- December 13, 2024
- NPISignal NPPES Dataset
- August 2026
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