BLAKE MCMILLIAN APRN CNP PMHNP-BC
NPI 1659946671
Nurse Practitioner - Psychiatric/Mental Health in Pawtucket, RI

Q: What is Blake Mcmillian's NPI number?

The NPI number for Blake Mcmillian is 1659946671. It was assigned to this individual provider in the NPPES registry on May 21, 2021.

Q: What is Blake Mcmillian's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Blake Mcmillian was last updated on July 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.

Active since May 21, 2021PECOS Enrolled

101 BACON ST, PAWTUCKET, RI 02860(401) 722-3560(401) 722-3593 Get Directions Write a Review

NPPES record last updated: July 10, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 10, 2026, Mar 27, 2026, May 21, 2021 (3 updates tracked since 2021).

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About Blake Mcmillian Aprn Cnp Pmhnp-bc NPPES

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

BLAKE MCMILLIAN APRN CNP PMHNP-BC (NPI 1659946671) is an individual psychiatric/mental health provider in Pawtucket, Rhode Island, licensed in Rhode Island (APRN05241) and active in the NPI registry since May 2021. He is enrolled in Medicare PECOS, maintains a secondary practice location in New York, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1659946671

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameBLAKE MCMILLIANCredential: APRN CNP PMHNP-BC

Location Address101 BACON STPawtucket, RI 02860-5542

Mailing Address325 W 45th St Apt 803aNew York, NY 10036-0077 · (512) 983-8552

Phone(401) 722-3560

Fax(401) 722-3593

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateMay 21, 2021

Last NPPES UpdateJuly 10, 20263 updates tracked since enumeration

NPPES CertifiedJuly 10, 2026

✔ NPI 1659946671 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in RI · APRN05241

Also ListedRegistered NurseTaxonomy 163W00000X · License 916743 (TX), 798064 (NY), 82250 (RI)

101 BACON ST, Pawtucket, RI 02860

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Secondary Practice Location 1

Location 12090 Adam Clayton Powell Jr BlvdNew York, NY 10027-4990 · Phone (212) 553-6606

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Harvard Pilgrim Health Care.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Blake Mcmillian Aprn Cnp Pmhnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4183182942

PECOS Enrollment IDI20260821001967

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 Reassignment

Medicare enrollment records show Blake Mcmillian reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Gateway Healthcare Inc

Same address

Mental Health (Including Community Mental Health Center)

101-103 BACON ST
Pawtucket, RI 02860

Reassigned Medicare billing, Rhode Island enrollment
150 clinicians in this Medicare group

NPI 1821078932 (401) 722-3560

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 02860 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

$90.48 typical visit price

range $58.57 – $177.03

Typical copayment $22.62 (range $14.64 – $44.25)

Most-billed visit code 99203

Established Patient

$103.10 typical visit price

range $18.92 – $144.38

Typical copayment $25.77 (range $4.73 – $36.09)

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 20

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

TRISHA JOHNSON

Counselor