MS. GLORIA GENE MCMILLAN (PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1205136363

MS. GLORIA GENE MCMILLAN (PMHNP-BC) is a healthcare provider. based in Fairfield, Iowa. specializing in NURSE PRACTITIONER. They hold the professional credentials PMHNP-BC. They hold a License No. 471937 (CA). The NPI Number for MS. GLORIA GENE MCMILLAN (PMHNP-BC) is 1205136363

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
MS. GLORIA GENE MCMILLAN (PMHNP-BC)
NPI
1205136363
Phone
(561) 504-3376
Address
306 W STONE AVE
Enumeration Date
23 October 2010
Last Update Date
4 March 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3197685858
Graduation Year
2015 (11 years ago)
PAC ID
5193179562
Group Practice PAC ID
4486562527
Professional Enrollment ID
I20231004000801
Address ID
IA526019407BU400XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience77
Completeness75
Years active:15State licenses:3Digital endpointsOther names

3,529 NURSE PRACTITIONER in IA

Provider Addresses for MS. GLORIA GENE MCMILLAN (PMHNP-BC)

  • 306 W STONE AVE

    FAIRFIELD, IA 525562247

    Phone: (561) 504-3376

    Type: Location

  • PO BOX 642

    FAIRFIELD, IA 525560011

    Phone: (561) 504-3376

    Type: Mailing

  • 1706 W AGENCY RD

    WEST BURLINGTON, IA 526551667

    Phone: (319) 753-2300

    Type: Mailing

  • 400 S BROADWAY ST

    BURLINGTON, IA 526019407

    Phone: (319) 768-5858

    Fax: (319) 671-7030

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 199 Open Payments records for all available years, with a total value of $3,119.

Total Amount is formed as General ($3,119) + Research ($0) + Ownership ($0) = $3,119.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ABBVIE INC. ($728).

Total Amount

$3,119

General + Research + Ownership

Payments

199

Total payment records

General Amount

$3,119

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-10-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20231004000801INurse PractitionerIATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 52556)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4486562527View full group profile
NameSpecialtyState
Nurse PractitionerIA
P S Y C H I A T R YMO
-IA
Clinical Social WorkerOR
Nurse PractitionerIA
Clinical Social WorkerIA
-MI
Internal Medicine, Emergency MedicineKS
Nurse PractitionerIA
Nurse PractitionerIA

Reviews

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Frequently asked questions

What is the registry number for MS. GLORIA GENE MCMILLAN (PMHNP-BC)?
The registry entry for MS. GLORIA GENE MCMILLAN (PMHNP-BC) shows NPI 1205136363.
Is MS. GLORIA GENE MCMILLAN (PMHNP-BC)'s NPI status active today?
Active status means MS. GLORIA GENE MCMILLAN (PMHNP-BC)'s NPI record is not deactivated in the public file.
What services align with MS. GLORIA GENE MCMILLAN (PMHNP-BC)'s listing?
MS. GLORIA GENE MCMILLAN (PMHNP-BC)'s public classification highlights Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What city is tied to MS. GLORIA GENE MCMILLAN (PMHNP-BC)?
The directory associates MS. GLORIA GENE MCMILLAN (PMHNP-BC) with Fairfield, Iowa. Check all listed addresses for suites or satellite offices.
Can I export MS. GLORIA GENE MCMILLAN (PMHNP-BC)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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