Individual provider Active NPI

Alisa Patrice McMillan, APRN

  • Clinical Nurse Specialist
  • Norfolk, VA
National Provider Identifier
1326765405
Registry record updated Jan 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Nurse SpecialistTaxonomy code 364S00000X
License
0024186234 Issued in VA
Practice address
6160 Kempsville Cir Ste 325a
Norfolk, VA 23502-3933
Phone
(757) 354-2885
Fax
(757) 917-5141
NPI assigned
Oct 20, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 0024186234 VA
Clinical Nurse Specialist 364S00000X 0024186234 VA Primary

Addresses

Primary practice location

6160 Kempsville Cir Ste 325a
Norfolk, VA 23502-3933

Mailing address

5413 Balfor Dr
Virginia Beach, VA 23464-2408
Phone (757) 776-3455

Other practice location 1

5413 Balfor Dr
Virginia Beach, VA 23464-2408
Phone (757) 776-3455

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20230518002299 VA Practitioner - Nurse Practitioner 7012373996 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mobile Wound Care Solutions LLCGroup PAC ID 0547783730, 7 clinicians
Regional Healthcare Group LLCGroup PAC ID 8224412234, 15 clinicians
M Medical Group, Inc.Group PAC ID 7719278597, 104 clinicians

Practice addresses (Care Compare)

8204 Gates Bluff PL
Chesterfield, VA 23832-6350
Phone (919) 429-1901

901 E Princess Anne Rd
Norfolk, VA 23504-2732
Phone (757) 626-1642

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-Atlantic Post Acute & Long Term Care PLLC CurrentSince Dec 1, 2024 Accepting new patients
M Medical Group, Inc. CurrentSince Apr 1, 2025 Accepting new patients
Integrated Wound Care Virginia PLLC CurrentSince Mar 1, 2023 Accepting new patients
Mobile Wound Care Solutions LLC CurrentSince Feb 23, 2025 Accepting new patients
SE Virginia Value Based Care, LLC CurrentSince Dec 1, 2024 Accepting new patients
Regional Healthcare Group LLC CurrentSince Sep 1, 2024 Accepting new patients
Virginia Internal Medicine Inc CurrentSince Oct 27, 2025 Accepting new patients
M Medical Group, Inc. CurrentSince Apr 1, 2025 Accepting new patients

Locations

9106 Pine View Ln
Clinton, MD 20735
Phone (301) 856-2930

9722 Groffs Mill Dr
Owings Mills, MD 21117
Phone (410) 205-9255

492C Cedar Ln
Teaneck, NJ 07666
Phone (201) 357-5468

235 Evergreen Ave
Appomattox, VA 24522
Phone (434) 352-7420

1540 Founders Pl
Charlottesville, VA 22902
Phone (434) 422-4800

901 E Princess Anne Rd
Norfolk, VA 23504
Phone (757) 547-4528

6160 Kempsville Cir
Ste 325A
Norfolk, VA 23502
Phone (757) 354-2885

324 King George Ave SW
Roanoke, VA 24016
Phone (540) 309-9895

1004 Independence Blvd
Virginia Beach, VA 23455
Phone (757) 464-4058

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1666224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736985600000",
    "number": "1326765405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5413 BALFOR DR",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234642408",
            "telephone_number": "757-776-3455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6160 KEMPSVILLE CIR STE 325A",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235023933",
            "telephone_number": "757-354-2885",
            "fax_number": "757-917-5141"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5413 Balfor Dr",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234642408",
            "country_code": "US",
            "telephone_number": "757-776-3455",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCMILLAN",
        "first_name": "ALISA",
        "middle_name": "PATRICE",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-20",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024186234",
            "primary": false
        },
        {
            "code": "364S00000X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist",
            "state": "VA",
            "license": "0024186234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

Verify at the official NPI Registry.