Individual provider Active NPI

Yvette McMillan

  • Nurse Practitioner
  • Hopkinsville, KY
National Provider Identifier
1689470494
Registry record updated Feb 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4029070 Issued in KY
Practice address
1914 S Virginia St
Hopkinsville, KY 42240-3610
Phone
(270) 220-0366
NPI assigned
Feb 21, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 4029070 KY Primary

Addresses

Primary practice location

1914 S Virginia St
Hopkinsville, KY 42240-3610

Mailing address

703 Hawthorne St
Hopkinsville, KY 42240-2613

Other practice location 1

713 W Main St
Elkton, KY 42220-9229
Phone (270) 265-5353

Other practice location 2

241 S Madisonville St
Crofton, KY 42217-8009
Phone (270) 220-0240

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20251120003186 KY Practitioner - Nurse Practitioner 5395237036 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
Group practices
Baptist Health Deaconess Medical Group IncGroup PAC ID 6103220330, 241 clinicians

Practice addresses (Care Compare)

200 Clinic Dr
Madisonville, KY 42431-1661
Phone (270) 824-6655

Hospital & facility affiliations

  • Baptist Health Deaconess Madisonville Hospital, Madisonville, KY, CCN 180093

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4029070KYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Deaconess Medical Group Inc Nurse Practitioner CurrentSince Nov 1, 2025 Accepting new patients
Baptist Health Deaconess Medical Group Inc Nurse Practitioner CurrentSince Nov 1, 2025 Accepting new patients

Locations

800 Hospital Dr
Fl 2
Madisonville, KY 42431
Phone (270) 326-3900

200 Clinic Dr
Madisonville, KY 42431
Phone (270) 821-8874

Organizations & group practices 2

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": "1740096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740096000000",
    "number": "1689470494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 HAWTHORNE ST",
            "city": "HOPKINSVILLE",
            "state": "KY",
            "postal_code": "422402613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1914 S VIRGINIA ST",
            "city": "HOPKINSVILLE",
            "state": "KY",
            "postal_code": "422403610",
            "telephone_number": "270-220-0366"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "713 W Main St",
            "address_purpose": "LOCATION",
            "city": "Elkton",
            "state": "KY",
            "postal_code": "422209229",
            "country_code": "US",
            "telephone_number": "270-265-5353",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "241 S Madisonville St",
            "address_purpose": "LOCATION",
            "city": "Crofton",
            "state": "KY",
            "postal_code": "422178009",
            "country_code": "US",
            "telephone_number": "270-220-0240",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCMILLAN",
        "first_name": "YVETTE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-21",
        "last_updated": "2025-02-21",
        "certification_date": "2025-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "4029070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hopkinsville, KY

Sources for this page

Verify at the official NPI Registry.