Individual provider Active NPI

Mylhan Myers, DO

  • Family Medicine Physician
  • Rolla, MO
National Provider Identifier
1639699747
Registry record updated Jun 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2020029485 Issued in MO
Practice address
1000 W 10TH St
Rolla, MO 65401-2905
Phone
(573) 364-9000
NPI assigned
Jun 21, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 1, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics Physician 207VX0000X 2020029485 MO
Family Medicine Physician 207Q00000X 2020029485 MO Primary

Addresses

Primary practice location

1000 W 10TH St
Rolla, MO 65401-2905

Mailing address

604 W 6TH St Ste a
Rolla, MO 65401-2968
Phone (573) 364-9352

Other practice location 1

1423 N Jefferson Ave # B100
Springfield, MO 65802-1917
Phone (417) 269-8817

Other practice location 2

1050 W 10th St
Rolla, MO 65401-2905
Phone (573) 364-9000

Other practice location 3

1000 W 10th St
Rolla, MO 65401-2905
Phone (573) 458-8899

Other practice location 4

604 W 6th St Ste A
Rolla, MO 65401-2968
Phone (573) 364-9352

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201001000867 MO Practitioner - Family PracticePractitioner - Other (Physician) 5890067441 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pcrmc Medical Group IncGroup PAC ID 1557454063, 113 clinicians
Phelps County Regional Medical CenterGroup PAC ID 2860391158, 111 clinicians
Myers Clinic LLCGroup PAC ID 1153897731, 2 clinicians

Practice addresses (Care Compare)

1000 W 10TH St
Rolla, MO 65401-2905
Phone (573) 364-9000

1050 W 10TH St
Rolla, MO 65401-2905
Phone (573) 364-9000

604 W 6TH St a
Myers Clinic
Rolla, MO 65401-2968
Phone (573) 364-9352

Hospital & facility affiliations

  • Phelps County Regional Medical Center Hospital, Rolla, MO, CCN 260017

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Advocates for a Healthy Community, Inc CurrentSince Sep 29, 2020 Accepting new patients
Phelps County Regional Medical Center CurrentSince Apr 1, 2023 Accepting new patients
Phelps County Regional Medical Center CurrentSince Jan 8, 2024 Accepting new patients
Citizens Memorial Healthcare Family Medicine CurrentSince Oct 12, 2022 Accepting new patients
Pcrmc Medical Group, Inc CurrentSince Apr 1, 2023 Accepting new patients
Citizens Memorial Healthcare CurrentSince Oct 12, 2022 Accepting new patients
Myers Clinic LLC Family Medicine Current Accepting new patients
Advocates for a Healthy Community Inc CurrentSince Sep 29, 2020 Accepting new patients

Locations

1500 N Oakland Ave
Bolivar, MO 65613
Phone (417) 326-6000

600 Blues Lake Pkwy
Rolla, MO 65401
Phone (573) 364-5719

1050 W 10th St
Rolla, MO 65401
Phone (573) 364-9000

604 W 6th St
Ste A
Rolla, MO 65401
Phone (573) 341-8500

1000 W 10th St
Rolla, MO 65401
Phone (573) 364-9000

603 S Bishop Ave
Rolla, MO 65401
Phone (573) 426-4411

440 E Tampa St
Springfield, MO 65806
Phone (417) 831-0191

1000 Gw Ln
Waynesville, MO 65583
Phone (573) 774-2715

502 S Miller Rd
Willard, MO 65781
Phone (417) 761-6655

Organizations & group practices 8

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.

Hospital & facility affiliations 3

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": "1498003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780272000000",
    "number": "1639699747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 W 6TH ST STE A",
            "city": "ROLLA",
            "state": "MO",
            "postal_code": "654012968",
            "telephone_number": "573-364-9352",
            "fax_number": "844-689-7577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 W 10TH ST",
            "city": "ROLLA",
            "state": "MO",
            "postal_code": "654012905",
            "telephone_number": "573-364-9000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1423 N Jefferson Ave # B100",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MO",
            "postal_code": "658021917",
            "country_code": "US",
            "telephone_number": "417-269-8817",
            "fax_number": "417-269-8744",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1050 W 10th St",
            "address_purpose": "LOCATION",
            "city": "Rolla",
            "state": "MO",
            "postal_code": "654012905",
            "country_code": "US",
            "telephone_number": "573-364-9000",
            "fax_number": "573-202-2484",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 W 10th St",
            "address_purpose": "LOCATION",
            "city": "Rolla",
            "state": "MO",
            "postal_code": "654012905",
            "country_code": "US",
            "telephone_number": "573-458-8899",
            "fax_number": "573-341-5611",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "604 W 6th St Ste A",
            "address_purpose": "LOCATION",
            "city": "Rolla",
            "state": "MO",
            "postal_code": "654012968",
            "country_code": "US",
            "telephone_number": "573-364-9352",
            "fax_number": "844-689-7577",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MYERS",
        "first_name": "MYLHAN",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-06-21",
        "last_updated": "2026-06-01",
        "certification_date": "2026-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "MO",
            "license": "2020029485",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2020029485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rolla, MO

Sources for this page

Verify at the official NPI Registry.