DR. MILLICENT K CHANNELL (D.O.) – Neuromusculoskeletal Medicine & OMM Physician, NPI 1043280159

Neuromusculoskeletal Medicine & OMM Physician

DR. MILLICENT K CHANNELL (D.O.) is a healthcare provider. based in Stratford, New Jersey. specializing in OSTEOPATHIC MANIPULATIVE MEDICINE, FAMILY PRACTICE. They hold the professional credentials D.O.. They hold a License No. MB07492500 (NJ). The NPI Number for DR. MILLICENT K CHANNELL (D.O.) is 1043280159

Main info

Female

25 Years Of Experience

Accepts Medicare Assignment

Name

DR. MILLICENT K CHANNELL (D.O.)

NPI

1043280159

Phone

(856) 566-7010

Address

42 E LAUREL RD STE 1700

Enumeration Date

23 January 2006

Last Update Date

7 March 2024

Doctor Profile

Medical School Name

PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE

Secondary Phone

Graduation Year

2001 (25 years ago)

PAC ID

9638114374

Group Practice PAC ID

9830222397

Professional Enrollment ID

I20050623000653

Address ID

NJ080841354ST42XXXRDXX400

Contacts

Secure Messaging

mchannell249020@directvirtua.org

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience69

Completeness85

Years active:20State licenses:1Other namesUpdated within 12 months

120 OSTEOPATHIC MANIPULATIVE MEDICINE in NJ

Provider Addresses for DR. MILLICENT K CHANNELL (D.O.)

42 E LAUREL RD STE 1700
STRATFORD, NJ 080841354
Phone: (856) 566-7010
Fax: (856) 566-6956
Type: Location
42, Laurel Road, Stratford, Camden County, New Jersey, 08084, United States
UDP #1700
STRATFORD, NJ 080841354
Phone: (856) 566-7010
Fax: (856) 566-6956
Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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: 2005-06-23

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

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
I20050623000653	I	Osteopathic Manipulative Medicine	NJ	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.

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

HCPCS	Description	Services	Beneficiaries	Medicare allowed
98927	Osteopathic manipulative treatment, 5-6 body regions	22	11	$0
99213	Established patient office or other outpatient visit, 20-29 minutes	20	11	$0

View full utilization report →

Insurance plans in this area (ZIP 08084)

Loading plans...

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: 9830222397View full group profile

Name	Specialty	State
DR. JUBRIL OYEKANMI OYEYEMI (M.D.)	-	NJ
DR. TOLULOPE ADESIYUN AGUNBIADE (MD)	Advanced Heart Failure And Transplant Cardiology	MD
MRS. TANYA FONT (FNP)	-	NJ
CHERYL WALTERS (LSW)	-	NJ
MS. JITHA RAI-PATEL (MD)	G A S T R O E N T E R O L O G Y	NJ
JULIET LEE	-	NJ
NATASHA HALYARD (FNP)	Nurse Practitioner	NJ
MS. DEBRA VINCENZA CANALE (MSN RN FNP-BC)	Nurse Practitioner	NJ
DR. DAVID L NEIDORF (MD)	-	NJ
DR. ABRAHAM S. HORN (D.O.)	-	NJ

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Does DR. MILLICENT K CHANNELL (D.O.) share an NPI with anyone else?

NPI numbers are unique to each provider or organization — DR. MILLICENT K CHANNELL (D.O.) uses 1043280159.

Is DR. MILLICENT K CHANNELL (D.O.) listed as active for patients and plans?

The listing shows DR. MILLICENT K CHANNELL (D.O.) as active in the NPI system.

What healthcare role does DR. MILLICENT K CHANNELL (D.O.) hold?

Scheduling teams often label DR. MILLICENT K CHANNELL (D.O.) under Neuromusculoskeletal Medicine & OMM Physician. Clinical services aligned with this taxonomy classification.

Where should I expect DR. MILLICENT K CHANNELL (D.O.) on a map?

Expect Stratford, New Jersey as a primary anchor for DR. MILLICENT K CHANNELL (D.O.) unless the record lists multiple sites.

Why does DR. MILLICENT K CHANNELL (D.O.) have multiple addresses?

4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.