NPIMap

Individual provider Active NPI

Karli McMillan, D.O.

  • Family Medicine Physician
  • Douglas, WY
National Provider Identifier
1063947026
Registry record updated Apr 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2021039551 Issued in MO
Practice address
700 E Center St
Douglas, WY 82633-2446
Phone
(307) 358-7300
NPI assigned
Apr 27, 2017
Last updated
Apr 8, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2021039551 MO Primary

Addresses

Primary practice location

700 E Center St
Douglas, WY 82633-2446

Mailing address

3649 Page Blvd
Saint Louis, MO 63113-3807
Phone (314) 288-0071

Other practice location 1

3649 Page Blvd
Saint Louis, MO 63113-3807
Phone (314) 288-0071

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240328002226 WY Practitioner - Family Practice 5991061566 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Lincoln Memorial University Medical Department, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Senior Health LLCGroup PAC ID 6305260746, 27 clinicians
Memorial Hospital of Converse CountyGroup PAC ID 2264340843, shared by 5 NPIs, 77 clinicians

Practice addresses (Care Compare)

1108 Birch St
Douglas, WY 82633-2761
Phone (801) 397-4040

111 S 5TH St
Douglas, WY 82633-2434
Phone (307) 358-2122

700 E Ctr St
Douglas, WY 82633-2446
Phone (307) 358-7300

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Senior Health LLC CurrentSince Oct 1, 2025 Accepting new patients
Memorial Hospital of Converse County Current Accepting new patients
Memorial Hospital of Converse County CurrentSince Mar 8, 2024 Accepting new patients
North Big Horn Hospital District Past Accepting new patients
Douglas Care Center, LLC Past Accepting new patients

Locations

598 W 900 S
Ste 230
Woods Cross, UT 84010
Phone (385) 403-0410

1108 Birch St
Douglas, WY 82633
Phone (307) 251-4282

111 S 5th St
Douglas, WY 82633
Phone (307) 358-6200

700 E Center St
Douglas, WY 82633
Phone (307) 358-7300

475 Yellow Creek Rd
Evanston, WY 82930
Phone (307) 789-0726

Interoperability endpoints

  • Direct secure messaging: kmcmillan@direct.mhccwyo.org

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Summit Ridge Skilled Nursing & RehabilitationDouglas, WY, CCN 535040 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Sep 1, 2025
Sep 1, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 5

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1493251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775606400000",
    "number": "1063947026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3649 PAGE BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631133807",
            "telephone_number": "314-288-0071",
            "fax_number": "314-758-5210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 E CENTER ST",
            "city": "DOUGLAS",
            "state": "WY",
            "postal_code": "826332446",
            "telephone_number": "307-358-7300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3649 Page Blvd",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631133807",
            "country_code": "US",
            "telephone_number": "314-288-0071",
            "fax_number": "314-758-5210",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCMILLAN",
        "first_name": "KARLI",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-27",
        "last_updated": "2026-04-08",
        "certification_date": "2026-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2021039551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Douglas, WY

Sources for this page

Verify at the official NPI Registry.