Kelly M Macmillan, M.D.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

11599 Issued in NH

Practice address

168 Kinsley St Ste 20
Nashua, NH 03060-3634

Phone

(603) 883-3365

Fax

(603) 883-5758

NPI assigned

Dec 16, 2005

Last updated

Oct 16, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Obstetrics/Gynecology

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

St. Joseph Hospital of Nashua NHGroup PAC ID 2062455611, 271 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Joseph Hospital Hospital, Nashua, NH, CCN 300011

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kmacmillan1153310@direct.bsmhealth.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• St Joseph Hospital of Nashua NH

  • General Acute Care Hospital
  • Nashua, NH
  • NPI 1093787384
  Medicare reassignment Care Compare group NPD
• Dartmouth-Hitchcock Clinic

  • Internal Medicine Physician
  • Lebanon, NH
  • NPI 1548210198

  Obstetrics & Gynecology

  Medicare reassignment NPD
• Foundation Medical Partners Inc

  • Internal Medicine Physician
  • Nashua, NH
  • NPI 1033162037
  Medicare reassignment
• St Joseph Hospital of Nashua NH

  dba St Joseph Hospital Urgent Care

  • Urgent Care Clinic/Center
  • Milford, NH
  • NPI 1437758679
  NPD
• Dubay, Wasserman, Conway, MD, PA

  • Obstetrics & Gynecology Physician
  • Merrimack, NH
  • NPI 1659537728
  NPD (past)
• St Joseph Hospital of Nashua NH

  • Rehabilitation Hospital Unit
  • Nashua, NH
  • NPI 1669462792
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• St Joseph Hospital of Nashua NH

  • General Acute Care Hospital
  • Nashua, NH
  • NPI 1093787384
  Care Compare affiliation
• St Joseph Hospital of Nashua NH

  dba St Joseph Hospital Urgent Care

  • Urgent Care Clinic/Center
  • Milford, NH
  • NPI 1437758679

  Hospital

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1134691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634342400000",
    "number": "1114903630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "C/O ST MARY'S HEALTH SYSTEM - PROVIDER ENROLLMENT",
            "address_2": "PO BOX 7291",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042437291",
            "telephone_number": "207-777-8695",
            "fax_number": "207-777-8800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "168 KINSLEY ST STE 20",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030603634",
            "telephone_number": "603-883-3365",
            "fax_number": "603-883-5758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACMILLAN",
        "first_name": "KELLY",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-16",
        "last_updated": "2021-10-16",
        "certification_date": "2021-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NH",
            "license": "11599",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3076899",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jaime V Macintosh, BA
• Mikayla Rae Macintyre, DNP, PMHNP-BC
• Devin Mack, AA
• Emily E Mackey, MD
• Norma Mackinley-Smith, AS
• Alison C. Madden, MD
• Rachel N Madden, DMD, MD
• Amy Madeira
• Sumathi Chickannaiyappa Madhure, PT
• Mary Elizabeth Madrigal

• Obstetrics & Gynecology Physician in Nashua, NH
• Providers in Nashua, NH by specialty
• Obstetrics & Gynecology Physician in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.