Kelli Forsyth Millican, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

C0009685 Issued in MD

Practice address

22 S Greene St
Baltimore, MD 21201-1544

Phone

(410) 448-6400

NPI assigned

Oct 4, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kelli.millican.p2@direct.parkviewortho.nextgenshare.com
• Direct secure messaging: kmillican1273822@direct.umm.edu
• Direct secure messaging: kelli.millican.p1@direct.parkviewortho.nextgenshare.com
• Direct secure messaging: kmillican194426@dulyhealthandcare.direct-ci.com

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

• Dupage Medical Group LTD

  • Multi-Specialty Clinic/Center
  • Downers Grove, IL
  • NPI 1801833983
  Medicare reassignment NPD
• Parkview Orthopaedic Group S C

  • Specialist
  • Palos Heights, IL
  • NPI 1154350353
  Medicare reassignment
• Dupage Medical Group LTD

  • Durable Medical Equipment & Medical Supplies
  • Glen Ellyn, IL
  • NPI 1760979447
  NPD
• Parkview Orthopaedic Group S C

  • Orthopaedic Surgery Physician
  • New Lenox, IL
  • NPI 1689269839
  NPD
• Parkview Orthopaedic Group S C

  • Orthopaedic Surgery Physician
  • Palos Heights, IL
  • NPI 1740875012
  NPD
• University of Maryland Orthopaedic Trauma Associates, PA

  • Orthopaedic Trauma Physician
  • Baltimore, MD
  • NPI 1497708051
  NPD (past)

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

{
    "created_epoch": "1507075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760486400000",
    "number": "1184134140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 64881",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212644881",
            "telephone_number": "410-448-6400",
            "fax_number": "410-448-6296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 S GREENE ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212011544",
            "telephone_number": "410-448-6400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Spalding Dr Ste 300",
            "address_purpose": "LOCATION",
            "city": "Naperville",
            "state": "IL",
            "postal_code": "605406553",
            "country_code": "US",
            "telephone_number": "630-790-1872",
            "fax_number": "630-355-2515",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLICAN",
        "first_name": "KELLI",
        "middle_name": "FORSYTH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-04",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "IL",
            "license": "085006375",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085006375",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": "085006375",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "MD",
            "license": "C0009685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wesley Miller, LCSW-C
• Yvette M Miller, LGPC
• Thomas Arthur Milleson, DDS
• Jacob Millford, OTR/L
• Michele Lina Millford, OTR/L
• Michael Gordon Millin, M.D.
• Janae Milline
• Taria Milliner
• Joshua Millings
• Stephen Mark Millison

• Surgical Physician Assistant in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Surgical Physician Assistant in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.