MRS. SUSAN MARTIN MCMILLEN (ACNP) – Acute Care Nurse Practitioner, NPI 1174805253
Acute Care Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
14,984 NURSE PRACTITIONER in OH
Provider Addresses for MRS. SUSAN MARTIN MCMILLEN (ACNP)
1 WYOMING ST
ATTN: NURSING ADMINISTRATION
DAYTON, OH 454092722
Phone: (937) 208-2407
Type: Mailing
1 Wyoming St
Attn: nursing administration
Dayton, OH 454092722
Phone: (937) 208-2407
Type: Location
10500 Montgomery Rd
Montgomery, OH 452424402
Phone: (513) 865-2246
Fax: (513) 865-5552
Type: Location
PO BOX 636256
CINCINNATI, OH 452636256
Phone: (513) 585-6200
Fax: (513) 245-3672
Type: Mailing
3188 BELLEVUE AVE
CINCINNATI, OH 452192369
Phone: (513) 558-4831
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: 2011-11-14
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20111114000270 | I | Nurse Practitioner | OH | 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 45409)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OH | |
| Radiation Oncology | OH | |
| Certified Registered Nurse Anesthetist (Crna) | OH | |
| - | OH | |
| N E U R O L O G Y | OH | |
| - | OH | |
| - | OH | |
| - | OH | |
| - | OH | |
| Family Practice | OH |
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