NATASHA MARIE MILLS – Psychologist, NPI 1023443629

NATASHA MARIE MILLS is a healthcare provider. based in Minneapolis, Minnesota. specializing in CLINICAL PSYCHOLOGIST. The NPI Number for NATASHA MARIE MILLS is 1023443629

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
NATASHA MARIE MILLS
NPI
1023443629
Phone
(952) 993-1440
Address
8170 33RD AVE S
Enumeration Date
13 September 2013
Last Update Date
12 February 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7013236000
Graduation Year
2014 (12 years ago)
PAC ID
5294045415
Group Practice PAC ID
9739098575
Professional Enrollment ID
I20151030000081
Address ID
MN55901XXXXROXXXXXXXXXX00
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:12State licenses:0Digital endpointsOther names

1,110 CLINICAL PSYCHOLOGIST in MN

Provider Addresses for NATASHA MARIE MILLS

  • 8170 33RD AVE S

    P.O. BOX 1309 MAIL STOP 21110Q

    MINNEAPOLIS, MN 554254516

    Phone: (952) 993-1440

    Type: Mailing

  • 9555 UPLAND LN N

    MAPLE GROVE, MN 553694485

    Phone: (952) 993-1440

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2015-10-30

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
I20151030000081IClinical PsychologistMNTBD

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 55425)

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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: 9739098575View full group profile
NameSpecialtyState
-ND
Diagnostic Radiology, Interventional RadiologyDE
-ND
Nurse PractitionerSD
Family PracticeND
-ND
Internal Medicine, Hospitalist, Internal MedicineSD
Orthopedic SurgeryMO
Family PracticeND
Nurse PractitionerND

Reviews

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Frequently asked questions

What NPI should I save for NATASHA MARIE MILLS?
Save NPI 1023443629 if you need a stable reference for NATASHA MARIE MILLS.
Is NATASHA MARIE MILLS active in the national directory?
NATASHA MARIE MILLS's public NPI profile is in an active state.
What kind of provider is NATASHA MARIE MILLS?
The page reflects Psychologist for NATASHA MARIE MILLS. Clinical services aligned with this taxonomy classification.
Where is NATASHA MARIE MILLS's primary listing?
We display Minneapolis, Minnesota because that is what the record indicates for NATASHA MARIE MILLS.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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