MRS. SUSAN MARTIN MCMILLEN ACNP NPI 1174805253

NPI Information

  • NPI: 1174805253
  • Provider Name: MRS. SUSAN MARTIN MCMILLEN, ACNP
  • Classification: Nurse Practitioner - 363LA2100X
  • Specialization: Acute Care
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3188 BELLEVUE AVE
    CINCINNATI, OH
    ZIP 45219
  • Phone: (513) 558-4831

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NPI Details

MRS. Susan Martin Mcmillen, ACNP is an acute care nurse practitioner in Cincinnati, OH with 14 years of experience. MRS. Susan Martin Mcmillen, ACNP NPI is 1174805253. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE
Graduation Year:2011

The provider's business location address is:

3188 BELLEVUE AVE
CINCINNATI, OH
ZIP 45219-369
Phone: (513) 558-4831

The NPI 1174805253 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/14/2011 and was last updated on 1/2/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LA2100XNurse PractitionerAcute CareCOA.12656-NPOHIONo
2363LA2100XNurse PractitionerAcute CareCNP.12656OHIOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
154610MEDICAIDOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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