NPIMap

Individual provider Active NPI

Angela M Macmillan, CRNP

  • Nurse Practitioner
  • Bethlehem, PA
National Provider Identifier
1710123062
Registry record updated Jan 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
SP010016 Issued in PA
Practice address
800 Eaton Ave
Suite 202
Bethlehem, PA 18018-1895
Phone
(484) 526-2894
Fax
(484) 526-6500
NPI assigned
Dec 16, 2008
Last updated
Jan 9, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2026

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 SP010016 PA Primary

Addresses

Primary practice location

800 Eaton Ave
Suite 202
Bethlehem, PA 18018-1895

Mailing address

834 Eaton Ave FL 1
Bethlehem, PA 18018-1832
Phone (484) 526-7474

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090211000707 PA Practitioner - Nurse Practitioner 7315000379 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Lukes Physician Group IncGroup PAC ID 6709798333, 2,161 clinicians

Practice addresses (Care Compare)

487 E Moorestown Rd
Wind Gap, PA 18091-9683

6689 Sullivan TRL
Wind Gap, PA 18091-9790
Phone (610) 954-4960

6695 Sullivan TRL
Suite 201
Wind Gap, PA 18091-9790
Phone (610) 691-3131

800 Eaton Ave
Bethlehem, PA 18018-1832

834 Eaton Ave
Bethlehem, PA 18018-1832
Phone (484) 526-7780

834 Eaton Avenue 1St Floor
St Luke's Obstetrics and Gynecology Associa
Bethlehem, PA 18018-1832
Phone (484) 526-7474

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.13 of 100Reported as apm
Quality
82.27
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St. Luke's Physician Group Inc. CurrentSince Feb 15, 2016 Accepting new patients
St. Luke's Physician Group, Inc. Current Accepting new patients
St Luke's Physician Group Inc CurrentSince Feb 15, 2016 Accepting new patients
St. Luke's Physician Group Inc. Past Accepting new patients

Locations

800 Eaton Ave
Ste 202
Bethlehem, PA 18018
Phone (484) 526-7170

125 Smithfield Ln
East Stroudsburg, PA 18301
Phone (272) 212-3872

2925 Wm Penn Hwy
Ste 201
Easton, PA 18045
Phone (610) 258-1400

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

Interoperability endpoints

  • Direct secure messaging: angela.macmillan@slpg.direct-sluhn.org

Organizations & group practices 4

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.

Hospital & facility affiliations 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1229385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767916800000",
    "number": "1710123062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "834 EATON AVE FL 1",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180181832",
            "telephone_number": "484-526-7474",
            "fax_number": "484-526-6500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 EATON AVE",
            "address_2": "SUITE 202",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180181895",
            "telephone_number": "484-526-2894",
            "fax_number": "484-526-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACMILLAN",
        "first_name": "ANGELA",
        "middle_name": "M",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-16",
        "last_updated": "2026-01-09",
        "certification_date": "2026-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP010016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethlehem, PA

Sources for this page

Verify at the official NPI Registry.