Shadae McMillan, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN263034 Issued in GA

Practice address

236 5TH Ave FL 4
New York, NY 10001-7953

Phone

(866) 351-5907

NPI assigned

Nov 3, 2016

Sex

Female

Sole proprietor

Yes

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 VA, MS, OR3 enrollments

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 3

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: shadae.mcmillan@337577483108356.direct.elationemr.com
• Direct secure messaging: shadae.mcmillan.1@30093.direct.athenahealth.com
• Direct secure messaging: shadae.mcmillan.1@19739.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/19739/brand/1/csg/1/fhir/r4
• Direct secure messaging: shadae.mcmillan.1@25522.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/2732/brand/1/csg/1/fhir/r4

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.

• Sleep Clinics of America, Inc

  • Sleep Disorder Diagnostic Clinic/Center
  • Richmond, VA
  • NPI 1801140850
  Medicare reassignment NPD
• Openloop Healthcare Partners PC

  • General Practice Physician
  • Des Moines, IA
  • NPI 1245820661

  MS

  Medicare reassignment
• Sleep Clinics of Oregon PC

  dba Arima Health

  • Sleep Medicine (Internal Medicine) Physician
  • Portland, OR
  • NPI 1609767276
  Medicare reassignment
• Cloud Health Medical Group, P.a.

  • Internal Medicine Physician
  • White Plains, NY
  • NPI 1528744935
  NPD (past)
• Emerald Medical Practice PC

  • Specialist
  • Park City, UT
  • NPI 1447011267
  NPD (past)
• Haramandeep Singh MD Inc

  dba Sleep Medicine Specialists of Calfornia

  • Sleep Medicine (Psychiatry & Neurology) Physician
  • San Ramon, CA
  • NPI 1316105802
  NPD (past)
• Imaging Resource Centers LTD

  • Mobile Radiology Clinic/Center
  • Miamisburg, OH
  • NPI 1003855909
  NPD (past)

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

{
    "created_epoch": "1478131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729468800000",
    "number": "1285186452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1412 MILSTEAD AVE NE",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300123877",
            "telephone_number": "770-918-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "236 5TH AVE FL 4",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100017953",
            "telephone_number": "866-351-5907"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1412 Milstead Ave NE",
            "address_purpose": "LOCATION",
            "city": "Conyers",
            "state": "GA",
            "postal_code": "300123877",
            "country_code": "US",
            "telephone_number": "770-918-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCMILLAN",
        "first_name": "SHADAE",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-03",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN263034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ines McMillan, MSC, LP
• Kaitlin Rose McMillan, MA CCC-SLP
• Karl McMillan, D.D.S
• Matthew McMillan, MD
• Robert Scott McMillan, PHD
• Marvin A McMillen, MD
• Marissa H McMillin
• Everyl A McMorris, PA
• Whitney McMullan, MSW
• Yessica McMullan

• Family Nurse Practitioner in New York, NY
• Providers in New York, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2024; 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.