Stacy A Piller, APN - Medicare Nurse Practitioner in Mendota, IL

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Stacy A Piller, APN is a medicare enrolled "Nurse Practitioner - Primary Care" in Mendota, Illinois. She went to University Of Illinois College Of Med (chi/peor/rock/chm-urb) and graduated in 2016 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Mendota Community Hospital and her current practice location is 1405 E 12th St, Ste 600, Mendota, Illinois. You can reach out to her office (for appointments etc.) via phone at (815) 538-7200.

Stacy A Piller is licensed to practice in Illinois (license number 277000247) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1508319914.

Contact Information

Stacy A Piller, APN
1405 E 12th St, Ste 600,
Mendota, IL 61342-9010
(815) 538-7200
(815) 539-1444

Map and Direction




Provider's Profile

Full NameStacy A Piller
GenderFemale
SpecialityNurse Practitioner
Experience10 Years
Location1405 E 12th St, Mendota, Illinois
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Stacy A Piller attended and graduated from University Of Illinois College Of Med (chi/peor/rock/chm-urb) in 2016
  NPI Data:
  • NPI Number: 1508319914
  • Provider Enumeration Date: 08/02/2016
  • Last Update Date: 07/28/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 8527355783
  • Enrollment ID: I20161003001309

Medical Identifiers

Medical identifiers for Stacy A Piller such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1508319914NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 209-014728 (Illinois)Secondary
363LP2300XNurse Practitioner - Primary Care 277000247 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Saint Anthony Medical Center For Home CareRockford, ILHome health agency
Osf Saint Paul Medical CenterMendota, ILHospital
Ottawa Regional Hospital Dba Osf Saint Elizabeth Mdl CtrOttawa, ILHospital
Osf Saint Anthony Medical CenterRockford, ILHospital
Perry Memorial HospitalPrinceton, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mendota Community Hospital226433577748

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Stacy A Piller allows following entities to bill medicare on her behalf.
Entity NameMendota Community Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407872997
PECOS PAC ID: 2264335777
Enrollment ID: O20040131000102
Entity NameOsf Multi-specialty Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922445527
PECOS PAC ID: 3678889789
Enrollment ID: O20150904000279

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Stacy A Piller is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Stacy A Piller, APN
1405 E 12th St, Ste 600,
Mendota, IL 61342-9010

Ph: (815) 538-7200		Stacy A Piller, APN
1405 E 12th St, Ste 600,
Mendota, IL 61342-9010

Ph: (815) 538-7200

Reviews and Comments


Nurse Practitioner Nurses in Mendota, IL

Jonathan Edwards,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1405 E 12th St, Suite 600, Mendota, IL 61342
Phone: 815-538-7200    Fax: 815-539-1444
Dr. Kelly Ann Tonielli Davis, DNP APRN FNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1201 Meriden St, Mendota, IL 61342
Phone: 815-538-1800    Fax: 815-538-4881
Joy Preciado,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1405 E 12th St, Ste 300, Mendota, IL 61342
Phone: 815-539-3141    
Sharon Jones Burtlow, FNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1201 Meriden St, Mendota, IL 61342
Phone: 815-539-3739    Fax: 815-539-3753
Susan J Olsen, APRN FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 537 N 3850th Rd, Mendota, IL 61342
Phone: 815-993-7378    
Tracie R Kelly, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1401 E 12th St, Mendota, IL 61342
Phone: 815-539-7461    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.