Individual provider Active NPI

Annelise Millan, NP

  • Family Nurse Practitioner
  • Rancho Mirage, CA
National Provider Identifier
1275351066
Registry record updated Jun 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95031774 Issued in CA
Practice address
72780 Country Club Dr Ste 100
Rancho Mirage, CA 92270-4150
Phone
(760) 773-9750
Fax
(760) 773-9294
NPI assigned
Sep 30, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95031774 CA Primary

Addresses

Primary practice location

72780 Country Club Dr Ste 100
Rancho Mirage, CA 92270-4150

Mailing address

PO Box 2366
Rancho Mirage, CA 92270-1086
Phone (760) 773-9750

Other practice location 1

67555 E Palm Canyon Dr Ste C112
Cathedral City, CA 92234-5412
Phone (760) 773-1680

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20241021003228 CA Practitioner - Nurse Practitioner 0840722427 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Internal Medicine Specialists IncGroup PAC ID 8123100674, 7 clinicians

Practice addresses (Care Compare)

72780 Country Club Dr
Suite 100
Rancho Mirage, CA 92270-4150
Phone (760) 773-9750

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Internal Medicine Specialists Inc CurrentSince Nov 1, 2024 Accepting new patients

Locations

39700 Bob Hope Dr
Ste 110
Rancho Mirage, CA 92270
Phone (760) 340-5545

72780 Country Club Dr
Ste 100
Rancho Mirage, CA 92270
Phone (760) 773-9750

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 and National Provider Directory roles.

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": "1727654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781654400000",
    "number": "1275351066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2366",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922701086",
            "telephone_number": "760-773-9750",
            "fax_number": "760-773-9294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72780 COUNTRY CLUB DR STE 100",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922704150",
            "telephone_number": "760-773-9750",
            "fax_number": "760-773-9294"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "67555 E Palm Canyon Dr Ste C112",
            "address_purpose": "LOCATION",
            "city": "Cathedral City",
            "state": "CA",
            "postal_code": "922345412",
            "country_code": "US",
            "telephone_number": "760-773-1680",
            "fax_number": "760-773-3144",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLAN",
        "first_name": "ANNELISE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-30",
        "last_updated": "2026-06-17",
        "certification_date": "2026-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95031774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Mirage, CA

Sources for this page

Verify at the official NPI Registry.