MADISON MCMILLAN (PA) – Physician Assistant, NPI 1255012126

MADISON MCMILLAN (PA) is a healthcare provider. based in Manhattan, Kansas. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 15-02784 (KS). The NPI Number for MADISON MCMILLAN (PA) is 1255012126

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
MADISON MCMILLAN (PA)
NPI
1255012126
Phone
(785) 539-3504
Address
4201 ANDERSON AVE STE C
Enumeration Date
25 July 2023
Last Update Date
28 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2023 (3 years ago)
PAC ID
1951763259
Group Practice PAC ID
2466405568
Professional Enrollment ID
I20230818000632
Address ID
KS665037603MA4201XCXXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness85
Years active:2State licenses:1Digital endpointsOther names

1,303 PHYSICIAN ASSISTANT in KS

Provider Addresses for MADISON MCMILLAN (PA)

  • 4201 ANDERSON AVE STE C

    MANHATTAN, KS 665037603

    Phone: (785) 539-3504

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 36 Open Payments records for all available years, with a total value of $821.

Total Amount is formed as General ($821) + Research ($0) + Ownership ($0) = $821.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($183).

Total Amount

$821

General + Research + Ownership

Payments

36

Total payment records

General Amount

$821

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

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: 2023-08-18

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
I20230818000632IPhysician AssistantKSTBD

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 66503)

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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: 2466405568View full group profile
NameSpecialtyState
Otolaryngology, Allergy/Immunology, Plastic And Reconstructive SurgeryHI
Qualified AudiologistKS
Physician AssistantKS
Qualified AudiologistKS
O T O L A R Y N G O L O G YNY
Physician AssistantKS
Pulmonary Disease, Critical Care (Intensivists), Internal MedicineKS
Nurse PractitionerKS
Pulmonary DiseaseKS
Physician AssistantKS

Reviews

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Frequently asked questions

Can I verify MADISON MCMILLAN (PA) with an NPI only?
You can start verification with NPI 1255012126 for MADISON MCMILLAN (PA), then check state licensing separately.
Does CMS list MADISON MCMILLAN (PA) as active?
Yes — MADISON MCMILLAN (PA) is active in the NPI listing used on this page.
What is MADISON MCMILLAN (PA)'s primary classification?
Physician Assistant is the headline specialty for MADISON MCMILLAN (PA) here. Clinical services aligned with this taxonomy classification.
Does MADISON MCMILLAN (PA) list a practice location?
Patients near Manhattan, Kansas may find MADISON MCMILLAN (PA) in results; validate coverage separately.
Is the information about MADISON MCMILLAN (PA) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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