Kimberly Sue McMillan, P.A.-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

1412 Issued in NE

Practice address

2910 Betten Dr
Crete, NE 68333-3084

Phone

(402) 826-2102

NPI assigned

Oct 2, 2006

Last updated

Apr 3, 2019By 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

Medicare fee-for-service enrollment

Enrolled in NE

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

University of Nebraska College of Medicine, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Crete Area Medical CenterGroup PAC ID 4385556216, 20 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Crete Area Medical Center Hospital, Crete, NE, CCN 281354

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kmcmillan13504@hisp.bryanhealth.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.

• Crete Area Medical Center

  • Family Medicine Physician
  • Crete, NE
  • NPI 1245281138
  Medicare reassignment Care Compare group NPD
• Crete Area Medical Center

  • Critical Access Hospital
  • Crete, NE
  • NPI 1063463958
  Medicare reassignment
• Crete Area Medical Center

  dba Friend Medical Clinic

  • Rural Health Clinic/Center
  • Friend, NE
  • NPI 1699217588
  NPD
• Crete Area Medical Center

  • Rural Health Clinic/Center
  • Crete, NE
  • NPI 1841240744
  NPD (past)
• Tarrant Family Practice P.a

  dba Northwest Family Practice Associates

  • Family Medicine Physician
  • Fort Worth, TX
  • NPI 1205806106
  NPD (past)
• Texas Health Physicians Group

  dba Sleep Healers

  • Sleep Disorder Diagnostic Clinic/Center
  • Dallas, TX
  • NPI 1174992051
  NPD (past)

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

• Crete Area Medical Center

  • Critical Access Hospital
  • Crete, NE
  • NPI 1063463958
  Care Compare affiliation

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554249600000",
    "number": "1124111976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2910 BETTEN DR",
            "city": "CRETE",
            "state": "NE",
            "postal_code": "683333084",
            "telephone_number": "402-826-2102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2910 BETTEN DR",
            "city": "CRETE",
            "state": "NE",
            "postal_code": "683333084",
            "telephone_number": "402-826-2102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMILLAN",
        "first_name": "KIMBERLY",
        "middle_name": "SUE",
        "credential": "P.A.-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2019-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NE",
            "license": "1412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David E Marvin, PA-C
• Rebecca Mason
• Valeska Yadira Mateo
• Kevin McConnell
• Patrick McConnell
• Catina Menard
• Maria Fernanda Mendez Juarez
• Soledad A Mendez
• Teresa Mendez
• Genoveva Mendoza Manon

• Physician Assistant in Crete, NE
• Providers in Crete, NE by specialty
• Physician Assistant in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2019; 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.