Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Alyssa Dawn McMillen

Individual provider Nurse Practitioner · NPI 1790595635

Alyssa Dawn McMillen is a Nurse Practitioner in Carbondale, Illinois. Qualified in 2024, 2 years ago. Practices with Southern Illinois Medical Services Nfp, a 332-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
2
Licensed in
IL
In the registry since
2025
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Practice location Address checks out

409 W Oak St
Carbondale, IL 62901-1464
Phone: (618) 529-4455
Fax: (618) 351-1287
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 100 Dr Warren Tuttle Dr, Harrisburg, IL 62946-2718 — (618) 529-4455
  • 217 S Park Ave Ste 2, Herrin, IL 62948-3611 — (618) 529-4455
  • 3905 W Ernestine Dr, Marion, IL 62959-5800 — (618) 529-4455

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 209031368 (IL)

Record details

NPI number1790595635
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 13, 2025
Last updated in NPPESFebruary 25, 2025
Certification dateFebruary 25, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Southern Illinois Medical Services Nfp — 332 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Carbondale