MS. GLORIA GENE MCMILLAN PMHNP-BC
NPI 1205136363
Nurse Practitioner - Psychiatric/Mental Health in Burlington, IA

Active since October 23, 2010PECOS EnrolledAccepts Medicare Assignment
400 S BROADWAY ST, BURLINGTON, IA 52601(319) 768-5858(319) 671-7030 Get Directions Write a Review

NPPES record last updated: March 4, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 4, 2024, Oct 15, 2020 (2 updates tracked since 2020).

About Ms. Gloria Gene Mcmillan Pmhnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. GLORIA GENE MCMILLAN PMHNP-BC (NPI 1205136363) is an individual psychiatric/mental health provider in Burlington, Iowa, licensed in Iowa (G167077) and active in the NPI registry since October 2010. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1205136363
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMS. GLORIA GENE MCMILLANCredential: PMHNP-BC
Location Address400 S BROADWAY STBurlington, IA 52601-9407
Mailing Address1706 W Agency RdWest Burlington, IA 52655-1667 · (319) 753-2300
Fax(319) 671-7030
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateOctober 23, 2010
Last NPPES UpdateMarch 4, 20242 updates tracked since enumeration
NPPES CertifiedFebruary 26, 2024
✔ NPI 1205136363 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in IA · G167077
Also ListedRegistered Nurse · Psychiatric/Mental Health, AdultTaxonomy 163WP0809X · License 471937 (CA)
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License A095667 (IA)
400 S BROADWAY ST, Burlington, IA 52601

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Gloria Gene Mcmillan Pmhnp-bc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5193179562
PECOS Enrollment IDI20231004000801
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Gloria Mcmillan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Federally Qualified Health Center (FQHC)
400 S BROADWAY ST
Burlington, IA 52601
  • Reassigned Medicare billing, Iowa enrollment
  • 43 clinicians in this Medicare group
Mental Health
2500 W HIGGINS RD STE 105
Hoffman Estates, IL 60169
  • Reassigned Medicare billing, Iowa enrollment
  • 9 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 52601 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.84 typical visit price
range $52.96 – $161.40
Typical copayment $20.46 (range $13.24 – $40.35)
Most-billed visit code 99203
Established Patient
$94.05 typical visit price
range $16.91 – $131.98
Typical copayment $23.51 (range $4.22 – $32.99)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
400 S BROADWAY ST
BURLINGTON, IA 52601
Counselor (Mental Health)
400 S BROADWAY ST, BURLINGTON
BURLINGTON, IA 52601
Counselor (Addiction (Substance Use Disorder))
400 S BROADWAY ST
BURLINGTON, IA 52601
Counselor (Mental Health)
400 S BROADWAY ST
BURLINGTON, IA 52601
Counselor (Mental Health)
400 S BROADWAY ST
BURLINGTON, IA 52601
Social Worker
400 S BROADWAY ST
BURLINGTON, IA 52601
Social Worker
400 S BROADWAY ST
BURLINGTON, IA 52601
Social Worker (Clinical)
400 S BROADWAY ST
BURLINGTON, IA 52601

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gloria Mcmillan's NPI number?

The NPI number for Gloria Mcmillan is 1205136363. It was assigned to this individual provider in the NPPES registry on October 23, 2010.

Where is Gloria Mcmillan located?

Gloria Mcmillan practices at 400 S Broadway St, Burlington, IA 52601. The listed phone number is (319) 768-5858.

What is Gloria Mcmillan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Gloria Mcmillan enrolled in Medicare?

Yes. Gloria Mcmillan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Gloria Mcmillan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gloria Mcmillan reassigns Medicare benefits to 2 organizations: Community Health Centers Of Southeastern Iowa, Inc (Burlington, IA) and Rodasi LLC (Hoffman Estates, IL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Gloria Mcmillan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Gloria Mcmillan accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and Oscar Health and 2 other insurers list Gloria Mcmillan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Gloria Mcmillan was last updated on March 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.