Individual provider Active NPI

Allyn Lawrence McMillan, NP-C

  • Family Nurse Practitioner
  • Wichita Falls, TX
National Provider Identifier
1457836140
Registry record updated Nov 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP139309 Issued in TX
Practice address
4412 Kell Blvd
Wichita Falls, TX 76309-4719
Phone
(940) 696-0011
Fax
(940) 696-2248
NPI assigned
Sep 27, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP139309 TX Primary

Addresses

Primary practice location

4412 Kell Blvd
Wichita Falls, TX 76309-4719

Mailing address

P.O. Box 961205
Fort Worth, TX 76161-1205
Phone (817) 740-8450

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20181213003105 TX Practitioner - Nurse Practitioner 3779828066 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wichita Falls Gastroenterology AssociatesGroup PAC ID 4183635899, 9 clinicians

Practice addresses (Care Compare)

1104 Brook Ave
Wichita Falls, TX 76301-5049
Phone (940) 687-6870

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
21.23 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
70.75

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP139309TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wichita Falls Gastroenterology Associates CurrentSince Sep 1, 2021 Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients

Locations

1100 Brook Ave
Wichita Falls, TX 76301
Phone (940) 761-1201

1104 Brook Ave
Wichita Falls, TX 76301
Phone (940) 687-6870

Interoperability endpoints

  • Direct secure messaging: mcmillan.allyn@wfga-tx.direct.office.nextgen.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 2

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 6

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": "1538006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573171200000",
    "number": "1457836140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 961205",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761611205",
            "telephone_number": "817-740-8450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4412 KELL BLVD",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763094719",
            "telephone_number": "940-696-0011",
            "fax_number": "940-696-2248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMILLAN",
        "first_name": "ALLYN",
        "middle_name": "LAWRENCE",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-09-27",
        "last_updated": "2019-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP139309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita Falls, TX

Sources for this page

Verify at the official NPI Registry.