CHAD MACMILLAN — NPI 1932688595 (Licensed & Credentialed Clinical Neuropsychologist in WAUSAU, WI)

CMS-1500 Box 24J / 33a • NPI

1932688595

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

103G00000X

Licensed & Credentialed Clinical Neuropsychologist

Box 32 Service Location & ZIP+4

500 N 3RD ST STE 220, WAUSAU, WI, 54403-4857

✓ 9-Digit EDI 837 ZIP+4 (54403-4857)

Practice Phone & Referral Fax

(715) 204-4260

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1932688595 (CHAD MACMILLAN) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1932688595` (NPI-1 Individual Practitioner)
Provider / Legal Name	CHAD MACMILLAN
Plain-English Specialty	Licensed & Credentialed Clinical Neuropsychologist NUCC Code: `103G00000X` (Clinical Neuropsychologist)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	500 N 3RD ST STE 220, WAUSAU, WI, 54403-4857
Practice Telephone / Fax	Tel: (715) 204-4260
Administrative Mailing Address	910 CHARLES ST, EDGAR, WI, 54426-9266
Enumeration & Last Sync	Enumerated: 2018-08-14 \| CMS Record Updated: 2021-05-10

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

500 N 3RD ST STE 220, WAUSAU, WI, 54403-4857

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Plain-English Taxonomy & CMS Crosswalk (103G00000X)

What Does Taxonomy Code 103G00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 103G00000X translates to:
"Licensed & Credentialed Clinical Neuropsychologist"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Clinical Neuropsychologist for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (CHAD MACMILLAN)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`101YM0800X` — Counselor, Mental Health Plain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Counselor	State: N/A \| License: `Verified` \| Primary: Secondary
`103G00000X` — Clinical Neuropsychologist Plain English: Licensed & Credentialed Clinical Neuropsychologist	State: WI \| License: `3937` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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CHAD MACMILLAN (NPI #1932688595)