DR. ELLISON ROSE SCHMILLEN (OTD) – Occupational Therapist, NPI 1912775982

DR. ELLISON ROSE SCHMILLEN (OTD) is a healthcare provider. based in Cottage grove, Minnesota. specializing in OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials OTD. The NPI Number for DR. ELLISON ROSE SCHMILLEN (OTD) is 1912775982

Main info

Female
3 Years Of Experience
Name
DR. ELLISON ROSE SCHMILLEN (OTD)
NPI
1912775982
Phone
(651) 769-7734
Address
6479 THOMPSON PARK CURV S
Enumeration Date
19 December 2023
Last Update Date
19 December 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7637554275
Graduation Year
2023 (3 years ago)
PAC ID
0042660094
Group Practice PAC ID
8022335397
Professional Enrollment ID
I20240103001876
Address ID
MN553043341AN1891XNWXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:2State licenses:0Digital endpointsOther names

603 OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE in MN

Provider Addresses for DR. ELLISON ROSE SCHMILLEN (OTD)

  • 6479 THOMPSON PARK CURV S

    COTTAGE GROVE, MN 550164485

    Phone: (651) 769-7734

    Type: Mailing

  • 10611 BALTIMORE ST NE STE 200

    BLAINE, MN 554495995

    Phone: (763) 755-4275

    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: 2024-01-03

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
I20240103001876IOccupational Therapist In Private PracticeMNTBD

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 55016)

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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: 8022335397View full group profile
NameSpecialtyState
Qualified Speech Language PathologistMN
Occupational Therapist In Private PracticeMN

Reviews

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Frequently asked questions

Does DR. ELLISON ROSE SCHMILLEN (OTD) have a public NPI I can cite?
Public records show DR. ELLISON ROSE SCHMILLEN (OTD) under NPI 1912775982.
Is DR. ELLISON ROSE SCHMILLEN (OTD)'s NPI status active today?
Active status means DR. ELLISON ROSE SCHMILLEN (OTD)'s NPI record is not deactivated in the public file.
What does the directory say DR. ELLISON ROSE SCHMILLEN (OTD) does?
Insurance directories may phrase it differently, but here DR. ELLISON ROSE SCHMILLEN (OTD) maps to Occupational Therapist. Clinical services aligned with this taxonomy classification.
Is DR. ELLISON ROSE SCHMILLEN (OTD) tied to Cottage Grove, Minnesota?
If you are local to Cottage Grove, Minnesota, DR. ELLISON ROSE SCHMILLEN (OTD) may be relevant to your search.
Why is information missing for DR. ELLISON ROSE SCHMILLEN (OTD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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