Individual provider Active NPI

Shannon Millin, APNP

  • Nurse Practitioner
  • Platteville, WI
National Provider Identifier
1992278329
Registry record updated Nov 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
8959-33 Issued in WI
Practice address
1400 Eastside Road
Platteville, WI 53818
Phone
(608) 342-4708
NPI assigned
Jan 8, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2020

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 8959-33 WI Primary

Addresses

Primary practice location

1400 Eastside Road
Platteville, WI 53818

Mailing address

1400 Eastside Road
Platteville, WI 53818
Phone (608) 342-4708

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address SMILLIN264615@DIRECT-EHR-SSMHC.COM Direct Southwest Health Center, Inc

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20190226001729 WI Practitioner - Nurse Practitioner 2860731460 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
80.26 of 100Reported as group
Quality
92.24
Promoting interoperability
100
Improvement activities
40
Cost
41.97

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Health Center, Inc. CurrentSince Feb 1, 2019 Accepting new patients
Southwest Health Center, Inc CurrentSince Feb 1, 2019 Accepting new patients
Openloop Healthcare Partners Wisconsin, SC Nurse Practitioner CurrentSince Aug 1, 2025 Accepting new patients
Openloop Healthcare Partners PC Nurse Practitioner Past Accepting new patients
Albany ENT & Allergy Services PC Past Accepting new patients
Movn Health Medical Group PLLC Past Accepting new patients

Locations

317 6th Ave
Ste 400
Des Moines, IA 50309
Phone (515) 612-9097

301 S Bedford St
Ste 1
Madison, WI 53703
Phone (773) 766-9444

342 N Water St
Ste 600
Milwaukee, WI 53202
Phone (414) 296-6189

1400 Eastside Rd
Platteville, WI 53818
Phone (608) 342-4712

Interoperability endpoints

  • Direct secure messaging: shannon.millin.1@30093.direct.athenahealth.com
  • Direct secure messaging: smillin264615@direct-ehr-ssmhc.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1546905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606435200000",
    "number": "1992278329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 EASTSIDE ROAD",
            "city": "PLATTEVILLE",
            "state": "WI",
            "postal_code": "53818",
            "telephone_number": "608-342-4708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 EASTSIDE ROAD",
            "city": "PLATTEVILLE",
            "state": "WI",
            "postal_code": "53818",
            "telephone_number": "608-342-4708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLIN",
        "first_name": "SHANNON",
        "credential": "APNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-08",
        "last_updated": "2020-11-27",
        "certification_date": "2020-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "8959-33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "SMILLIN264615@DIRECT-EHR-SSMHC.COM",
            "affiliation": "Y",
            "affiliationName": "Southwest Health Center, Inc",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "SMILLIN264615@DIRECT-EHR-SSMHC.COM",
            "address_1": "1400 Eastside Road",
            "city": "Platteville",
            "state": "WI",
            "country_code": "US",
            "postal_code": "53818",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Platteville, WI

Sources for this page

Verify at the official NPI Registry.