ALYSSA DAWN MCMILLEN
NPI 1790595635
Nurse Practitioner in Carbondale, IL

Q: What is Alyssa Mcmillen's NPI number?

The NPI number for Alyssa Mcmillen is 1790595635. It was assigned to this individual provider in the NPPES registry on January 13, 2025.

Q: What is Alyssa Mcmillen's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Alyssa Mcmillen was last updated on February 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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 January 13, 2025PECOS EnrolledAccepts Medicare Assignment

409 W OAK ST, CARBONDALE, IL 62901(618) 529-4455(618) 351-1287 Get Directions Write a Review

NPPES record last updated: February 25, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

On this page

About Alyssa Dawn Mcmillen NPPES

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

ALYSSA DAWN MCMILLEN (NPI 1790595635) is an individual nurse practitioner in Carbondale, Illinois, licensed in Illinois (209031368) and active in the NPI registry since January 2025. She is enrolled in Medicare PECOS, is affiliated with Herrin Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1790595635

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameALYSSA DAWN MCMILLEN

Location Address409 W OAK STCarbondale, IL 62901-1464

Mailing AddressPo Box 3988Carbondale, IL 62902-3988 · (618) 457-5200

Phone(618) 529-4455

Fax(618) 351-1287

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateJanuary 13, 2025

Last NPPES UpdateFebruary 25, 2025

NPPES CertifiedFebruary 25, 2025

✔ NPI 1790595635 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in IL · 209031368

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

409 W OAK ST, Carbondale, IL 62901

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Secondary Practice Locations 3

Location 1217 S Park Ave Ste 2Herrin, IL 62948-3611 · Phone (618) 529-4455 · Fax (618) 351-1287

Location 2100 Dr Warren Tuttle DrHarrisburg, IL 62946-2718 · Phone (618) 529-4455 · Fax (618) 351-1287

Location 33905 W Ernestine DrMarion, IL 62959-5800 · Phone (618) 529-4455 · Fax (618) 351-1287

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Alyssa Dawn Mcmillen 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 ID7810427507

PECOS Enrollment IDI20250211001184

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.

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Herrin Hospital

Acute Care Hospitals · Herrin, IL

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140011

Location201 S 14th StHerrin, IL 62948 · Williamson County

Emergency services

Memorial Hospital Of Carbondale

Acute Care Hospitals · Carbondale, IL

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140164

Location405 W JacksonCarbondale, IL 62901 · Jackson County

Emergency services Birthing friendly

Franklin Hospital

Critical Access Hospitals · Benton, IL

OwnershipGovernment - Hospital District or Authority

CMS Certification Number141321

Location201 Bailey LaneBenton, IL 62812 · Franklin County

Emergency services

Marshall Browning Hospital

Critical Access Hospitals · Du Quoin, IL

OwnershipVoluntary non-profit - Private

CMS Certification Number141331

Location900 North Washington StreetDu Quoin, IL 62832 · Perry County

Emergency services

St Joseph Memorial Hospital

Critical Access Hospitals · Murphysboro, IL

OwnershipVoluntary non-profit - Private

CMS Certification Number141334

Location2 South Hospital DriveMurphysboro, IL 62966 · Jackson County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62901 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

$85.71 typical visit price

range $54.80 – $168.44

Typical copayment $21.42 (range $13.70 – $42.11)

Most-billed visit code 99203

Established Patient

$97.25 typical visit price

range $17.16 – $136.56

Typical copayment $24.31 (range $4.29 – $34.14)

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.

SANDEEP BANGA M.D.

Internal Medicine (Interventional Cardiology)