SEAN PATRICK MCGILLEN JR.
NPI 1740128636
Student in an Organized Health Care Education/Training Program in West Bloomfield, MI

Q: What is Sean Mcgillen's NPI number?

The NPI number for Sean Mcgillen is 1740128636. It was assigned to this individual provider in the NPPES registry on March 23, 2026.

Q: What is Sean Mcgillen's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Sean Mcgillen was last updated on March 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 March 23, 2026PECOS Enrolled

5777 W MAPLE RD STE 170, WEST BLOOMFIELD, MI 48322(248) 847-3288(248) 847-3275 Get Directions Write a Review

NPPES record last updated: March 23, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Sean Patrick Mcgillen Jr. NPPES

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

SEAN PATRICK MCGILLEN JR. (NPI 1740128636) is an individual student in an organized health care education/training program in West Bloomfield, Michigan and active in the NPI registry since March 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1740128636

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameSEAN PATRICK MCGILLEN JR.

Location Address5777 W MAPLE RD STE 170West Bloomfield, MI 48322-4448

Mailing Address5777 W Maple Rd Ste 170West Bloomfield, MI 48322-4448 · (248) 847-3288 · Fax (248) 847-3275

Phone(248) 847-3288

Fax(248) 847-3275

Sole ProprietorNo

Enumeration DateMarch 23, 2026

NPPES CertifiedMarch 23, 2026

✔ NPI 1740128636 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

5777 W MAPLE RD STE 170, West Bloomfield, MI 48322

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sean Patrick Mcgillen Jr. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 8

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

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