HEATHER RENE MILLIS (PA-C) – Physician Assistant, NPI 1194979971

HEATHER RENE MILLIS (PA-C) is a healthcare provider. based in Duluth, Minnesota. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 10498 (MN). The NPI Number for HEATHER RENE MILLIS (PA-C) is 1194979971

Main info

Female
18 Years Of Experience
Accepts Medicare Assignment
Name
HEATHER RENE MILLIS (PA-C)
NPI
1194979971
Phone
(218) 786-3443
Address
400 E 3RD ST
Enumeration Date
6 November 2008
Last Update Date
14 November 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2008 (18 years ago)
PAC ID
9436210671
Group Practice PAC ID
6901706357
Professional Enrollment ID
I20081206000172
Address ID
MN558051913DU502XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

4,032 PHYSICIAN ASSISTANT in MN

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Provider Addresses for HEATHER RENE MILLIS (PA-C)

  • 400, East 3rd Street, Duluth, Saint Louis County, Minnesota, 55805, United States

    DULUTH CLINIC

    DULUTH, MN 558051951

    Phone: (218) 786-3443

    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)

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: 2008-12-06

PECOS data refreshed: 2026-06-15

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
I20081206000172IPhysician AssistantMNTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes9036$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes4128$0
99239Hospital discharge day management, more than 30 minutes1313$0
View full utilization report →

Insurance plans in this area (ZIP 55805)

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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: 6901706357View full group profile
NameSpecialtyState
Physician AssistantMN
Emergency Medicine, Medical ToxicologyND
-WI
Emergency MedicineMN
Nurse PractitionerMN
Physician AssistantMN
Emergency MedicineMI
Nurse PractitionerMN
Emergency MedicineMN
Internal Medicine, Interventional CardiologyMN

Reviews

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Frequently asked questions

How is HEATHER RENE MILLIS (PA-C) identified in CMS data?
CMS-hosted NPPES data lists HEATHER RENE MILLIS (PA-C) with NPI 1194979971.
Can I rely on HEATHER RENE MILLIS (PA-C) being an active provider?
As of the registry snapshot, HEATHER RENE MILLIS (PA-C) is marked active.
What is HEATHER RENE MILLIS (PA-C)'s specialty?
The listing groups HEATHER RENE MILLIS (PA-C) with Physician Assistant. Clinical services aligned with this taxonomy classification.
What area does HEATHER RENE MILLIS (PA-C) serve?
HEATHER RENE MILLIS (PA-C)'s listing highlights Duluth, Minnesota; more addresses can appear in NPPES.
Is the information about HEATHER RENE MILLIS (PA-C) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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