IndividualActive
Alyssa Mcmillen
NPI 1790595635 · Nurse Practitioner · Carbondale, IL
Provider details
- NPI number
- 1790595635
- Entity type
- Individual
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 209031368 (IL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
4 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
409 W Oak St
Carbondale, IL 62901-1464
Phone: (618) 529-4455
Fax: (618) 351-1287
Street-level locationGet directions
Mailing address
Po Box 3988
Carbondale, IL 62902-3988
Additional practice locations (3)
- 100 Dr Warren Tuttle DrHarrisburg, IL 62946-2718Phone: (618) 529-4455Fax: (618) 351-1287
- 217 S Park Ave Ste 2Herrin, IL 62948-3611Phone: (618) 529-4455Fax: (618) 351-1287
- 3905 W Ernestine DrMarion, IL 62959-5800Phone: (618) 529-4455Fax: (618) 351-1287
Registry dates
- Enumerated
- 2025-01-13
- Last updated
- 2025-02-25
- Certified
- 2025-02-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.