GWEN MCMILLAN (ACNP) – Acute Care Nurse Practitioner, NPI 1093045254

GWEN MCMILLAN (ACNP) is a healthcare provider. based in Detroit, Michigan. specializing in NURSE PRACTITIONER. They hold the professional credentials ACNP. They hold a License No. 4704157067 (MI). The NPI Number for GWEN MCMILLAN (ACNP) is 1093045254

Main info

Female
Sole Proprietor
17 Years Of Experience
Accepts Medicare Assignment
Name
GWEN MCMILLAN (ACNP)
NPI
1093045254
Phone
(313) 916-2600
Address
2799 W GRAND BLVD
Enumeration Date
10 January 2010
Last Update Date
22 February 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3139162600
Graduation Year
2009 (17 years ago)
PAC ID
7810181708
Group Practice PAC ID
0547178311
Professional Enrollment ID
I20101104001022
Address ID
MI482022608DE2799XBLVD400

Contacts

Secure Messaging
gmcmillan19810@direct.hfhs.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness85
Years active:16State licenses:1Other namesUpdated within 12 months

8,106 NURSE PRACTITIONER in MI

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Provider Addresses for GWEN MCMILLAN (ACNP)

  • Henry Ford Hospital, 2799, West Grand Boulevard, New Center, Detroit, Wayne County, Michigan, 48202, United States

    DETROIT, MI 482022608

    Phone: (313) 916-2600

    Type: Location

  • Christian Drive, Sleepy Hollow, Brownstown Charter Township, Wayne County, Michigan, 48134, United States

    BROWNSTOWN, MI 481349113

    Phone: (313) 587-7165

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $230.

Total Amount is formed as General ($230) + Research ($0) + Ownership ($0) = $230.

Last reported payment date: 2024-08-08 • Largest payer in this snapshot: ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) ($130).

Total Amount

$230

General + Research + Ownership

Payments

3

Total payment records

General Amount

$230

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-08

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: 2010-11-04

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
I20101104001022INurse PractitionerMITBD

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 48202)

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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: 0547178311View full group profile
NameSpecialtyState
-MI
Gastroenterology, Internal MedicinePA
Certified Registered Nurse Anesthetist (Crna)MI
Clinical Social WorkerMI
-MI
Physician AssistantMI
Qualified AudiologistMI
O P H T H A L M O L O G YMI
-MI
-MI

Reviews

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Frequently asked questions

Does GWEN MCMILLAN (ACNP) have a public NPI I can cite?
Public records show GWEN MCMILLAN (ACNP) under NPI 1093045254.
Is GWEN MCMILLAN (ACNP)'s NPI status active today?
Active status means GWEN MCMILLAN (ACNP)'s NPI record is not deactivated in the public file.
How should patients interpret GWEN MCMILLAN (ACNP)'s specialty?
The extract shows Acute Care Nurse Practitioner for GWEN MCMILLAN (ACNP). Clinical services aligned with this taxonomy classification.
What city is tied to GWEN MCMILLAN (ACNP)?
The directory associates GWEN MCMILLAN (ACNP) with Detroit, Michigan. Check all listed addresses for suites or satellite offices.
Why is information missing for GWEN MCMILLAN (ACNP)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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