Millicent E Stettler, AGACNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

0024180423 Issued in VA

Practice address

10850 Buttercup PL Apt 303
Manassas, VA 20109-5631

Phone

(571) 577-0612

NPI assigned

Mar 18, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in DC, MD2 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 2

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Agape Physical Therapy and Sports Rehabilitation LPGroup PAC ID 3870741390, 684 clinicians

Mace Medical LLCGroup PAC ID 8123308020, 15 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Home Call, Inc Home health agency, Westminster, MD, CCN 217115

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/JHCFBA

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.

• Mace Medical LLC

  • Internal Medicine Physician
  • Essex, MD
  • NPI 1114374360
  Medicare reassignment Care Compare group NPD
• Mdics Rehabilitative Services LLC

  • Internal Medicine Physician
  • Glen Burnie, MD
  • NPI 1124313309

  DC

  Medicare reassignment
• Agape Physical Therapy & Sports Rehabilitation LP

  • Physical Therapist
  • Forest Hill, MD
  • NPI 1578900668
  Care Compare group

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

• Homecall, LLC

  • Home Health Agency
  • Westminster, MD
  • NPI 1053406181
  Care Compare affiliation

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

{
    "created_epoch": "1616025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627603200000",
    "number": "1609452986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10850 BUTTERCUP PL APT 303",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201095631",
            "telephone_number": "571-577-0612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10850 BUTTERCUP PL APT 303",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201095631",
            "telephone_number": "571-577-0612"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2601 Bel Pre Rd",
            "address_purpose": "LOCATION",
            "city": "Silver Spring",
            "state": "MD",
            "postal_code": "209062313",
            "country_code": "US",
            "telephone_number": "301-598-6000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STETTLER",
        "first_name": "MILLICENT",
        "middle_name": "E",
        "credential": "AGACNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-18",
        "last_updated": "2021-07-30",
        "certification_date": "2021-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MD",
            "license": "AC003667",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024180423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert G Stenberg, MD
• Donn P Stephan, MD
• Stephanie L Stephens, MS, CCC-SLP
• Barbara Jean Stephenson
• Shakeisha Sterling, LCSW
• Steven R. Tucker, MD, PC
• Elena Stevens, MA, LPC
• Haley Elizabeth Steward
• Jeannette Marie Steward, PH.D.
• Jessica Nicole Stewart, LPC

• Nurse Practitioner in Manassas, VA
• Providers in Manassas, VA by specialty
• Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2021; 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.