NICOLE M MILLIKEN (CNP) – Nurse Practitioner, NPI 1114119617

NICOLE M MILLIKEN (CNP) is a healthcare provider. based in Ravenna, Ohio. specializing in Nurse Practitioner. They hold the professional credentials CNP. They hold a License No. NP 09499 (OH). The NPI Number for NICOLE M MILLIKEN (CNP) is 1114119617

Main info

Female
19 Years Of Experience
Accepts Medicare Assignment
Name
NICOLE M MILLIKEN (CNP)
NPI
1114119617
Phone
(330) 297-6110
Address
3963 LOOMIS PKWY
Enumeration Date
17 August 2007
Last Update Date
17 September 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5174827246
Graduation Year
2007 (19 years ago)
PAC ID
1153418835
Group Practice PAC ID
6103913496
Professional Enrollment ID
I20150717000874
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:18State licenses:2Digital endpointsOther names

Provider Addresses for NICOLE M MILLIKEN (CNP)

  • Loomis Parkway, Ravenna, Portage County, Ohio, 44266, United States

    RAVENNA, OH 442661800

    Phone: (330) 297-6110

    Fax: (330) 296-0592

    Type: Mailing

  • 1215 E MICHIGAN AVE

    LANSING, MI 489121811

    Phone: (517) 482-7246

    Fax: (517) 484-7377

    Type: Location

  • 1540 LAKE LANSING RD STE G6

    LANSING, MI 489123757

    Phone: (517) 482-7246

    Fax: (517) 484-7377

    Type: Mailing

  • Arch Street, Arlington, Cascade Valley, Akron, Summit County, Ohio, United States

    AKRON, OH 443041437

    Phone: (330) 253-8195

    Fax: (330) 253-0853

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $140.

Total Amount is formed as General ($140) + Research ($0) + Ownership ($0) = $140.

Last reported payment date: 2023-10-23 • Largest payer in this snapshot: Boston Scientific Corporation ($140).

Total Amount

$140

General + Research + Ownership

Payments

1

Total payment records

General Amount

$140

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-10-23

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2015-07-17

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
I20150717000874INurse PractitionerMITBD

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
99214Established patient office or other outpatient visit, 30-39 minutes16098$0
View full utilization report →

Insurance plans in this area (ZIP 44266)

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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: 6103913496View full group profile

Reviews

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Frequently asked questions

How is NICOLE M MILLIKEN (CNP) identified in CMS data?
CMS-hosted NPPES data lists NICOLE M MILLIKEN (CNP) with NPI 1114119617.
Is NICOLE M MILLIKEN (CNP) listed as active for patients and plans?
The listing shows NICOLE M MILLIKEN (CNP) as active in the NPI system.
What is NICOLE M MILLIKEN (CNP)'s primary classification?
Nurse Practitioner is the headline specialty for NICOLE M MILLIKEN (CNP) here. Clinical services aligned with this taxonomy classification.
Does NICOLE M MILLIKEN (CNP) list a practice location?
Patients near Ravenna, Ohio may find NICOLE M MILLIKEN (CNP) in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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