Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Madison Nicole Stillwell, PA-C

Individual provider Physician Assistant · NPI 1407474463

Madison Nicole Stillwell, PA-C is a Physician Assistant in East Moline, Illinois. Qualified in 2021, 5 years ago. Practices with Stone Ridge Medical Group SC, a 7-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
5
Licensed in
IL
In the registry since
2020
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

306 46th Ave
East Moline, IL 61244-4281
Phone: (309) 796-2329
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1111 W 14th Pl Unit 119, Chicago, IL 60608-2796 — (309) 798-1682
  • 1929 10th Ave E, Milan, IL 61264-2953 — (309) 787-2600

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 085008444 (IL)

Record details

NPI number1407474463
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedJuly 7, 2020
Last updated in NPPESApril 23, 2025
Certification dateApril 23, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Stone Ridge Medical Group Sc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare