DAVID ALLEN MCMILLAN (DO) – Student in an Organized Health Care Education/Training Program, NPI 1053931980
Student in an Organized Health Care Education/Training Program
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
71 NEPHROLOGY in NE
Provider Addresses for DAVID ALLEN MCMILLAN (DO)
1111 N 102ND CT STE 200
OMAHA, NE 681142194
Phone: (402) 502-2747
Fax: (402) 502-2387
Type: Location
400 W. 16TH STREET
GRADUATE MEDICAL EDUCATION OFFICE
PUEBLO, CO 81003
Phone: (719) 595-7585
Fax: (719) 595-7589
Type: Mailing
311 W 14TH ST
PUEBLO, CO 810032705
Phone: (719) 595-7585
Fax: (719) 595-7589
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: 2025-10-09
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20250627000484 | I | Nephrology | NE | TBD |
| I20251009003053 | I | Nephrology | IA | TBD |
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.
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 68114)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nephrology, Internal Medicine | NE | |
| Physician Assistant | NE | |
| Nephrology, Internal Medicine, Nephrology, Internal Medicine | NE | |
| Nurse Practitioner | NE | |
| Physician Assistant | NE | |
| Nephrology, Internal Medicine | CO | |
| Nurse Practitioner | NE | |
| Nurse Practitioner | NE | |
| N E P H R O L O G Y | NE | |
| Nurse Practitioner | NE |
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