Kelly L McMillin, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

8200A Issued in WY

Practice address

709 W 8TH St
Suite 4
Gillette, WY 82716-4125

Phone

(307) 682-3333

Fax

(307) 682-6723

NPI assigned

Jul 16, 2009

Last updated

Dec 7, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Mar 1, 2019 through Mar 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Frontier Family Medicine, LLC

  • Family Medicine Physician
  • Gillette, WY
  • NPI 1962748939
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1247702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354838400000",
    "number": "1053541672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "709 WEST 8TH STREET",
            "address_2": "SUITE 4",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "82716",
            "telephone_number": "307-682-3333",
            "fax_number": "307-682-6723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 W 8TH ST",
            "address_2": "SUITE 4",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827164125",
            "telephone_number": "307-682-3333",
            "fax_number": "307-682-6723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMILLIN",
        "first_name": "KELLY",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-16",
        "last_updated": "2012-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WY",
            "license": "8200A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Allen McKearney, MD
• Lori E. McKinsey, F.N.P. - C
• Leslie J McLean, MD
• Philip McMahill, M.D.
• Inara Aila McMaster, M.D.
• Ashley Dawn Murray McRae
• Bernadette Veronica Meade, DO
• Meadowlark Counseling
• Meadowlark Ocupational Therapy LLC
• Stephenie Jo Means, PT, DPT

• Family Medicine Physician in Gillette, WY
• Providers in Gillette, WY by specialty
• Family Medicine Physician in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.