Stephanie King, FNP-BC
NPI 1053860320ActiveIndividual· Nurse Practitioner, Family· Granite City, IL
Nurse Practitioner, Family (FNP-BC) with Fairview Heights Medical Group SC and 1 other group, practicing in Granite City, Illinois. In 2024 Medicare paid $7,211 for 173 patients, and Part D covered 410 of their prescriptions, 87% of them generic. Lists Ssm Health Depaul Hospital St Louis as a hospital affiliation.
Overview
| NPI | 1053860320 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | FNP-BC |
| Sole proprietor | Yes |
| NPI issued | Sep 28, 2016 |
| Last updated in NPPES | Sep 19, 2025 |
| Certified by provider | Sep 19, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 209014478 | IL |
| Nurse Practitioner | 363L00000X | 277000670 | IL |
| Nurse Practitioner | 363L00000X | 2016023932 | MO |
| Nurse Practitioner | 363L00000X | 209014478 | IL |
| Nurse Practitioner, Family | 363LF0000X | 2016023932 | MO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (IL); Practitioner - Nurse Practitioner (MO) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 173 |
|---|---|
| Services billed | 182 across 10 procedure codes |
| Paid by Medicare | $7,211 |
Part D prescriptions in 2024
| Prescriptions (claims) | 410 · 415 30-day fills |
|---|---|
| Patients | 289 |
| Total drug cost | $8,143 |
| Generic share | 87% of claims |
Education and affiliations
| Graduation year | 2016 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical groups
- Fairview Heights Medical Group SCAlton, IL · 444 clinicians
- Ssm Health Care St LouisSaint Charles, MO · 167 clinicians
Hospital affiliation
- Ssm Health Depaul Hospital St LouisBridgeton, MO
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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