Active NPI 1053764365 Individual Practitioner Female Practitioner

Michelle M Stephens , APN

Nurse Practitioner • Roanoke, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Michelle Stephens, APN is a certified Nurse Practitioner practicing in Roanoke, IL. With approximately 10 years of clinical experience since completing medical education in 2016, Michelle Stephens delivers high-quality medical care to the local community at 401 N MAIN ST.

Michelle Stephens maintains professional affiliations with Saint James Hospital, Cora Health Services Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include insertion of needle into vein for collection of blood sample, established patient outpatient office visit, administration of influenza virus vaccine. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

401 N Main St

Roanoke, IL 615617585

Telephone 3099232661

Fax 3099237628

Associated Practice Facility / Clinic

🏢 Saint James Hospital Facility NPI 1164138848

Medicare Profile & Education

Medical School

Other

Graduation Year

2016

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Roanoke, IL

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

10 Yrs +2.5 yrs vs City Avg

City Avg: 7.5 Yrs

State Avg: 10.4 Yrs

Regional Practice Density

4 Specialists

Practicing in Roanoke, IL (4929 Statewide)

Telehealth Adoption Rate

25.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

54.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Stephens (10 Years) 10 Yrs

Roanoke Specialty Average (7.5 Years) 7.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	203	140	$29.00	$8.34
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	191	140	$282.00	$104.55
99213 Established patient office or other outpatient visit, typically 15 minutes	182	139	$200.00	$73.65
G0008 Administration of influenza virus vaccine	31	31	$32.90	$29.66
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	29	29	$74.17	$72.69
81002 Urinalysis, manual test	18	18	$22.00	$3.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	340	200	$269.15	$105.06
36415 Insertion of needle into vein for collection of blood sample	250	154	$27.50	$2.96
99213 Established patient office or other outpatient visit, typically 15 minutes	174	122	$192.35	$73.99
G0008 Administration of influenza virus vaccine	37	36	$31.68	$28.08
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	28	28	$51.29	$50.26
85610 Blood test, clotting time	22	12	$31.41	$4.23
81002 Urinalysis, manual test	18	17	$20.33	$3.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	293	202	$266.00	$106.81
36415 Insertion of needle into vein for collection of blood sample	241	170	$27.00	$3.00
99213 Established patient office or other outpatient visit, typically 15 minutes	182	125	$175.26	$75.45
G0008 Administration of influenza virus vaccine	59	59	$30.00	$16.21
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	59	59	$26.00	$20.48
81002 Urinalysis, manual test	23	19	$24.43	$3.48
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	13	13	$99.00	$35.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	309	195	$161.56	$61.73
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	308	200	$253.19	$90.61
36415 Insertion of needle into vein for collection of blood sample	271	183	$27.00	$2.99
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	63	62	$26.00	$19.55
G0008 Administration of influenza virus vaccine	63	62	$29.05	$16.16
81002 Urinalysis, manual test	32	29	$26.00	$3.46
99441 Telephone medical discussion with physician, 5-10 minutes	11	11	$69.00	$37.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	363	230	$153.68	$60.81
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	303	210	$242.10	$89.15
36415 Insertion of needle into vein for collection of blood sample	194	159	$27.00	$2.93
G0008 Administration of influenza virus vaccine	69	68	$27.94	$15.85
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	69	68	$25.94	$18.65
81002 Urinalysis, manual test	33	29	$25.18	$3.41
G0009 Administration of pneumococcal vaccine	11	11	$27.64	$15.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	494	277	$147.80	$60.11
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	217	178	$235.41	$88.91
36415 Insertion of needle into vein for collection of blood sample	95	76	$27.00	$2.94
G0008 Administration of influenza virus vaccine	55	55	$26.42	$19.39
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	54	54	$25.00	$18.65
81002 Urinalysis, manual test	26	22	$25.00	$3.41
G0009 Administration of pneumococcal vaccine	15	15	$25.93	$19.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	594	298	$143.24	$59.47
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	160	123	$229.19	$87.15
36415 Insertion of needle into vein for collection of blood sample	86	70	$26.29	$2.94
G0008 Administration of influenza virus vaccine	47	47	$25.00	$23.77
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	45	45	$25.00	$18.65
81003 Automated urinalysis test	24	23	$13.00	$3.02
81002 Urinalysis, manual test	22	20	$24.32	$3.43
G0009 Administration of pneumococcal vaccine	18	18	$25.00	$23.77

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License IL 209-014570

(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.

Hospital & Practice Group Affiliations

Cora Health Services Inc

2953 Traverse Trl, The Villages, FL 321632017

Phone: 3526933378

Saint James Hospital

401 N Main St, Roanoke, IL 615617585

Phone: 3099232661

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

25 Associated Practitioners

Rachel Anderson , APP

Nurse Practitioner - Family

NPI 1033937743

Erica Svendsen , APRN, CNP

Nurse Practitioner - Family

NPI 1114704137

Advanced Practice Registered Nurse, Certified Nurse Practitioner

Dr. Jennifer Stoller , DNP, PNP-PC

Nurse Practitioner - Pediatrics

NPI 1154035913

Doctor of Nursing Practice, PNPPC

Maddalena Davenport , APRN

Nurse Practitioner - Family

NPI 1154157808

Advanced Practice Registered Nurse

Hayley Wilson

Nurse Practitioner - Family

NPI 1174263206

Petra Flores , APRN, FNP-C

Nurse Practitioner - Family

NPI 1205662194

Advanced Practice Registered Nurse, Family Nurse Practitioner (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active July 21, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location July 21, 2016

Registered at 401 N MAIN ST, ROANOKE, IL 615617585 (Tel: 3099232661)

📍

Updated Business Mailing Address July 21, 2016

Registered at 401 N MAIN ST, ROANOKE, IL 615617585 (Tel: 3099232661)

👤

Provider Name / Credentials Updated July 21, 2016

Recorded as MICHELLE STEPHENS, APN

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 21, 2016

Nurse Practitioner (License #209-014570 in IL)

🟢

Initial NPI Registration & Enumeration July 21, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1053764365

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 21, 2016

Last Update: July 21, 2016

Sole Proprietor: No

Update or Correct Profile

Mailing Address

401 N Main St

Roanoke, IL 615617585

Phone: 3099232661

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.