Susan K McMillan, APNP
Individual provider Active NPI Family Nurse Practitioner · Calmar, IA
NPI 1790760742 · NPPES record last updated Apr 23, 2009
Key facts
- NPI
- 1790760742
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- A-073625 (IA)
- Practice address
- 106 E Main St
Box 538
Calmar, IA 52132-7743 - Phone
- (563) 562-3211
- NPI assigned
- Dec 13, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Veterans Memorial Hospital City of Waukon Ia
Practice addresses (Care Compare)
105 E Main St
Waukon, IA 52172-1735
Phone (563) 568-5530
Hospital & facility affiliations
- V M H Comunity & Home Care
- Veterans Memorial Hospital
- Crossing Rivers Health Medical Center
- Mayo Clinic Health System-Franciscan Medical Center Inc
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in IA, WI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090511000318 | IA | Practitioner - Nurse Practitioner | 2668520198 | Reassigns benefits to 2 organizations |
| I20140218000328 | WI | Practitioner - Nurse Practitioner | 2668520198 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A-073625 | IA | MD | Family Nurse Practitioner |
| 1499033 | WI | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Veterans Memorial Hospital City of Waukon Ia | Current |
Accepting new patients | |
| Veterans Memorial Hospital City of Waukon Ia | Current | Accepting new patients | |
| Veterans Memorial Hospital City of Waukon Ia | Current |
Accepting new patients | |
| Veterans Memorial Hospital City of Waukon Ia | Current | Accepting new patients | |
| Prairie Du Chien Memorial Hospital Association Inc | Current |
Accepting new patients | |
| Gundersen Clinic LTD | Past | Accepting new patients |
Locations
105 E Main St
Waukon, IA 52172
Phone (319) 568-3449
40 1st St SE
Waukon, IA 52172
Phone (563) 568-3411
37868 US Highway 18
Prairie du Chien, WI 53821
Phone (608) 357-2000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1499033 | WI | |
| Family Nurse Practitioner | 363LF0000X | A-073625 | IA | Yes |
Addresses
Primary practice location
106 E Main St
Box 538
Calmar, IA 52132-7743
Mailing address
1836 South Ave
La Crosse, WI 54601-5429
Phone (608) 782-7300
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 43905000 | Medicaid | WI |
Other providers in Calmar, IA
- Gundersen Clinic, LTD.
- Infinite Angels Home Health Inc
- Infinite Angels Home Healthcare
- Darren S Koozer
- Wendy S Kuennen
- Melissa Marie Meyer
- Kimberly Marie Shea
- South Winneshiek Comm School
- South Winneshiek CSD
All providers in Calmar, IA · Family Nurse Practitioner in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 23, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.