Individual provider Active NPI

Christie Marie McMillen, APRN-CNP

  • Family Nurse Practitioner
  • Dover, OH
National Provider Identifier
1467945659
Registry record updated May 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.022868 Issued in OH
Practice address
115 S Wooster Ave
Dover, OH 44622-1944
Phone
(833) 510-4357
NPI assigned
Jun 12, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X CNP-022868 OH
Family Nurse Practitioner 363LF0000X APRN.CNP.022868 OH Primary

Addresses

Primary practice location

115 S Wooster Ave
Dover, OH 44622-1944

Mailing address

4600 Montgomery Rd Ste 400
Cincinnati, OH 45212-2600

Other practice location 1

67609 Warnock St Clairsville Rd
Saint Clairsville, OH 43950-9129
Phone (740) 695-5190

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20191022001906 OH Practitioner - Nurse Practitioner 5294067377 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St. Joseph Recovery Center, LLCGroup PAC ID 0042548000, 12 clinicians

Practice addresses (Care Compare)

2146 Southgate Pkwy
Suite 5
Cambridge, OH 43725-3096
Phone (740) 370-6404

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CNP-022868OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast, Inc CurrentSince Jul 31, 2019 Accepting new patients
Brightview, LLC CurrentSince Jul 1, 2023 Accepting new patients
Spero Health of Ohio, LLC CurrentSince Aug 22, 2024 Accepting new patients
Southeast, Inc CurrentSince Jul 31, 2019 Accepting new patients
Brightview LLC CurrentSince Jul 1, 2023 Accepting new patients

Locations

1493 S Arlington St
Akron, OH 44306
Phone (234) 274-5827

243 S Main St
Cadiz, OH 43907
Phone (740) 937-2020

1750 Southgate Pkwy
Cambridge, OH 43725
Phone (740) 432-3634

4600 Montgomery Rd
Ste 400
Cincinnati, OH 45212
Phone (513) 873-1269

6527 Colerain Ave
Cincinnati, OH 45239
Phone (513) 385-5000

16 W Long St
Columbus, OH 43215

115 S Wooster Ave
Dover, OH 44622
Phone (330) 365-2135

68353 Bannock Uniontown Rd
St Clairsvle, OH 43950
Phone (740) 695-9344

155 Franklin Rd
Ste 430
Brentwood, TN 37027
Phone (615) 265-0359

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1528761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685491200000",
    "number": "1467945659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 MONTGOMERY RD STE 400",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452122600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 S WOOSTER AVE",
            "city": "DOVER",
            "state": "OH",
            "postal_code": "446221944",
            "telephone_number": "833-510-4357"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "67609 Warnock St Clairsville Rd",
            "address_purpose": "LOCATION",
            "city": "Saint Clairsville",
            "state": "OH",
            "postal_code": "439509129",
            "country_code": "US",
            "telephone_number": "740-695-5190",
            "fax_number": "740-695-5191",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCMILLEN",
        "first_name": "CHRISTIE",
        "middle_name": "MARIE",
        "credential": "APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-12",
        "last_updated": "2023-05-31",
        "certification_date": "2023-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "CNP-022868",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.022868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, OH

Sources for this page

Verify at the official NPI Registry.