Individual provider Active NPI

Annette Rose Millie, MD

  • Family Medicine Physician
  • Oregon, OH
National Provider Identifier
1740220086
Registry record updated Jun 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
067198 Issued in OH
Practice address
831 S Wynn Rd
Oregon, OH 43616-3527
Phone
(419) 693-0793
NPI assigned
Jun 7, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2025

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 036174560 IL
Family Medicine Physician 207Q00000X 067198 OH Primary

Addresses

Primary practice location

831 S Wynn Rd
Oregon, OH 43616-3527

Mailing address

831 S Wynn Rd
Oregon, OH 43616-3527
Phone (419) 693-0793

Other practice location 1

1005 Broadway St
Quincy, IL 62301-2834
Phone (217) 223-1200

Other identifiers 2

IdentifierTypeStateIssuer
3810027507MedicaidWV
0198129MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, WV, OR, WA, IL5 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20050525000813 OH Practitioner - Family Practice 8729020177 Reassigns benefits to 2 organizations
I20140212000859 WV Practitioner - Family PracticePractitioner - Emergency Medicine 8729020177 Reassigns benefits to 2 organizations
I20230921002813 OR Practitioner - Family Practice 8729020177 Reassigns benefits to 1 organization
I20241209001811 WA Practitioner - Family Practice 8729020177 Reassigns benefits to 1 organization
I20250625002101 IL Practitioner - Family Practice 8729020177 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
Medical College of Ohio, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Blessing HospitalGroup PAC ID 3072422534, 414 clinicians
East Mountain Health Physicians IncGroup PAC ID 9133405327, 90 clinicians

Practice addresses (Care Compare)

1005 Broadway St
Quincy, IL 62301-2834
Phone (217) 223-8400

97 Administrative Dr
Martinsburg, WV 25404-6378
Phone (304) 350-3200

Hospital & facility affiliations

  • Blessing Hospital Hospital, Quincy, IL, CCN 140015
  • Mercy St Vincent Medical Center Hospital, Toledo, OH, CCN 360112

Merit-based Incentive Payment System (MIPS)

Final score
91.14 of 100Reported as group
Quality
85.78
Promoting interoperability
100
Improvement activities
40
Cost
78.31

Merit-based Incentive Payment System (MIPS)

Final score
98.34 of 100Reported as apm
Quality
89.25
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036174560ILMDFamily Medicine Physician
067198OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Medical Foundation of Tillamook CurrentSince Aug 18, 2023 Accepting new patients
West Central Pathology Specialists, S.C. Current Accepting new patients
Blessing Hospital CurrentSince Jun 1, 2025 Accepting new patients
University Healthcare Physicians, Inc. Family Medicine CurrentSince Apr 16, 2018 Accepting new patients
East Mountain Health Physicians, Inc. CurrentSince May 30, 2025 Accepting new patients
Quincy Clinical Laboratory Services SC Current Accepting new patients
Valley Medical Group-Renton Family Medicine CurrentSince Dec 1, 2024 Accepting new patients
Aultman Hospital CurrentSince Jun 1, 2019 Accepting new patients
Northwest Medical Foundation of Tillamook CurrentSince Aug 18, 2023 Accepting new patients
Aultman Now Urgent Care, LLC CurrentSince Nov 14, 2020 Accepting new patients
Aultman Hospital Current Accepting new patients
Blessing Hospital CurrentSince Jun 1, 2025 Accepting new patients
Northwest Medical Foundation of Tillamook Current Accepting new patients
Blessing Hospital Current Accepting new patients
East Mountain Health Physicians Inc. Family Medicine Current Accepting new patients
East Mountain Health Physicians, Inc. CurrentSince May 30, 2025 Accepting new patients
Aultman Hospital CurrentSince Jun 1, 2019 Accepting new patients
University Healthcare Physicians Inc CurrentSince Apr 16, 2018 Accepting new patients
University Hospitals Medical Group Inc Past Accepting new patients
Medical Service Associates of Xenia Inc Family Medicine Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Samaritan Emergency Physicians LLP Past Accepting new patients
CG Medical Associates Inc Family Medicine PastSince Dec 1, 2021 Accepting new patients
East Mountain Health Physicians, Inc. Past Accepting new patients
JTDM Family Practice LLC Family Medicine Past Accepting new patients
Knox Emergency Services, LLC Past Accepting new patients

Locations

1005 Broadway St
Quincy, IL 62301

2600 6th St SW
Canton, OH 44710
Phone (330) 363-2180

6100 Whipple Ave NW
North Canton, OH 44720
Phone (330) 244-8778

1100 3rd St
Tillamook, OR 97141
Phone (503) 815-2116

1000 3rd St
#M
Tillamook, OR 97141
Phone (503) 815-2260

1000 3rd St
Tillamook, OR 97141
Phone (503) 251-6129

220 Campus Blvd
Ste 320
Winchester, VA 22601

16850 SE 272nd St
Ste 100
Covington, WA 98042
Phone (253) 395-1971

1205 N 10th St
Ste A
Renton, WA 98057
Phone (425) 656-4211

3600 Lind Ave SW
Ste 100
Renton, WA 98057

61 Campus Dr
Ste 106
Martinsburg, WV 25404
Phone (304) 274-2273

2000 Foundation Way
Ste 3100
Martinsburg, WV 25401
Phone (304) 260-1436

97 Administrative Dr
Martinsburg, WV 25404
Phone (304) 350-3200

100 Oak Lee Dr
Ranson, WV 25438
Phone (304) 350-0001

Interoperability endpoints

  • Direct secure messaging: amillie1503903@valleyhealth.direct-ci.com
  • Direct secure messaging: amillie121840@direct.wvuhsdirect.com
  • FHIR API: https://fhir.blessinghospital.com/R4/open-Prod

Organizations & group practices 26

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.

View all 26

Hospital & facility affiliations 3

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": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750118400000",
    "number": "1740220086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "831 S WYNN RD",
            "city": "OREGON",
            "state": "OH",
            "postal_code": "436163527",
            "telephone_number": "419-693-0793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "831 S WYNN RD",
            "city": "OREGON",
            "state": "OH",
            "postal_code": "436163527",
            "telephone_number": "419-693-0793"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1005 Broadway St",
            "address_purpose": "LOCATION",
            "city": "Quincy",
            "state": "IL",
            "postal_code": "623012834",
            "country_code": "US",
            "telephone_number": "217-223-1200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLIE",
        "first_name": "ANNETTE",
        "middle_name": "ROSE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-07",
        "last_updated": "2025-06-17",
        "certification_date": "2025-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036174560",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "067198",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810027507",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0198129",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oregon, OH

Sources for this page

Verify at the official NPI Registry.