Individual provider Active NPI

Madison McMillan, PA

  • Physician Assistant
  • Manhattan, KS
National Provider Identifier
1255012126
Registry record updated Jun 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
15-02784 Issued in KS
Practice address
4201 Anderson Ave Ste C
Manhattan, KS 66503-7603
Phone
(785) 539-3504
Fax
(785) 539-8597
NPI assigned
Jul 25, 2023
Last updated
Jun 4, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 15-02784 KS Primary

Addresses

Primary practice location

4201 Anderson Ave Ste C
Manhattan, KS 66503-7603

Mailing address

4201 Anderson Ave Ste C
Manhattan, KS 66503-7603
Phone (785) 539-3504

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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

Enrollment IDStateProvider typePAC IDDetails
I20230818000632 KS Practitioner - Physician Assistant 1951763259 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inspire ENT and Pulmonology PAGroup PAC ID 2466405568, 12 clinicians

Practice addresses (Care Compare)

4201 Anderson Ave
Suite C
Manhattan, KS 66503-7603
Phone (785) 539-3504

4201 Anderson Ave BLDG C
Manhattan, KS 66503-7603

4201 Anderson Ave C
Manhattan, KS 66503-7603

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
15-02784KSMDPhysician Assistant

Organizations & group practices 1

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1690243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780531200000",
    "number": "1255012126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 ANDERSON AVE STE C",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665037603",
            "telephone_number": "785-539-3504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 ANDERSON AVE STE C",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665037603",
            "telephone_number": "785-539-3504",
            "fax_number": "785-539-8597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMILLAN",
        "first_name": "MADISON",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-25",
        "last_updated": "2026-06-04",
        "certification_date": "2026-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KS",
            "license": "15-02784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manhattan, KS

Sources for this page

Verify at the official NPI Registry.