SHADAE MCMILLAN FNP-C
NPI 1285186452
Nurse Practitioner - Family in New York, NY

Active since November 03, 2016PECOS EnrolledAccepts Medicare Assignment
236 5TH AVE FL 4, NEW YORK, NY 10001(866) 351-5907 Get Directions Write a Review

NPPES record last updated: October 21, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 18, 2018, Nov 3, 2016 (2 updates tracked since 2016).

About Shadae Mcmillan Fnp-c NPPES

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

SHADAE MCMILLAN FNP-C (NPI 1285186452) is an individual family provider in New York, New York, licensed in Georgia (RN263034) and active in the NPI registry since November 2016. She is enrolled in Medicare PECOS, maintains a secondary practice location in Conyers, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1285186452
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSHADAE MCMILLANCredential: FNP-C
Location Address236 5TH AVE FL 4New York, NY 10001-7953
Mailing Address1412 Milstead Ave NeConyers, GA 30012-3877 · (770) 918-3000
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateNovember 3, 2016
Last NPPES UpdateOctober 21, 20242 updates tracked since enumeration
NPPES CertifiedOctober 21, 2024
✔ NPI 1285186452 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in GA · RN263034
236 5TH AVE FL 4, New York, NY 10001

Secondary Practice Location 1

Location 11412 Milstead Ave NEConyers, GA 30012-3877 · Phone (770) 918-3000

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

Shadae Mcmillan Fnp-c 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 ID3678849007
PECOS Enrollment IDI20260407003361
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

3

Medicare enrollment records show Shadae Mcmillan reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Sleep Disorder Diagnostic
5000 MONUMENT AVE FL 2
Richmond, VA 23230
  • Reassigned Medicare billing, Virginia enrollment
  • 12 clinicians in this Medicare group
General Practice
317 6TH AVE STE 400
Des Moines, IA 50309
  • Reassigned Medicare billing, Mississippi enrollment
  • 24 clinicians in this Medicare group
Sleep Medicine
521 SW 11TH AVE STE 303
Portland, OR 97205
  • Reassigned Medicare billing, Oregon enrollment
  • 10 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 10001 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%29 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES

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

Physical Therapist
236 5TH AVE FL 4
NEW YORK, NY 10001

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 Shadae Mcmillan's NPI number?

The NPI number for Shadae Mcmillan is 1285186452. It was assigned to this individual provider in the NPPES registry on November 3, 2016.

Where is Shadae Mcmillan located?

Shadae Mcmillan practices at 236 5th Ave Fl 4, New York, NY 10001. The listed phone number is (866) 351-5907.

What is Shadae Mcmillan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Shadae Mcmillan enrolled in Medicare?

Yes. Shadae 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 Shadae Mcmillan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shadae Mcmillan reassigns Medicare benefits to 3 organizations: Sleep Clinics Of America, Inc (Richmond, VA), Openloop Healthcare Partners PC (Des Moines, IA) and Sleep Clinics Of Oregon PC (Portland, OR). 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 Shadae Mcmillan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shadae Mcmillan accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan, Ambetter of Oklahoma and Anthem Blue Cross and Blue Shield and 6 other insurers list Shadae 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 Shadae Mcmillan was last updated on October 21, 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.