Carly Ann Millan, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95023242 Issued in CA

Practice address

12 S San Gorgonio Ave Ste 202
Banning, CA 92220-6015

Phone

(818) 237-7955

NPI assigned

Nov 17, 2022

Sex

Female

Sole proprietor

Yes

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

Enrolled in CA

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

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wellness Wound Care IncGroup PAC ID 6507385069, 5 clinicians

Harbor Wound Care P CGroup PAC ID 0042704504, 29 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Harbor Wound Care P.C.

  • General Practice Physician
  • Banning, CA
  • NPI 1427922392
  Medicare reassignment Care Compare group NPD
• Wellness Wound Care Inc

  • Family Medicine Physician
  • Tarzana, CA
  • NPI 1346040151
  Medicare reassignment Care Compare group NPD
• Aspire Health Services Inc

  • General Practice Physician
  • Los Angeles, CA
  • NPI 1922893213
  Medicare reassignment NPD
• Homecare Wound Care Services

  • Health Service Clinic/Center
  • Duarte, CA
  • NPI 1528885712
  Medicare reassignment NPD
• Octacare Health Services Inc

  • General Practice Physician
  • Newhall, CA
  • NPI 1659260958
  Medicare reassignment NPD
• Hillside Mobile Primary Care, a Professional Nursing Corporation

  • Nurse Practitioner
  • Banning, CA
  • NPI 1154259729
  NPD Authorized official
• Elite Care Solutions

  • General Practice Physician
  • Canyon Country, CA
  • NPI 1508734195
  Medicare reassignment
• Wound Care RX

  • Clinic/Center
  • Chatsworth, CA
  • NPI 1871481168
  Medicare reassignment
• Empire Wound Care

  • General Practice Physician
  • Monrovia, CA
  • NPI 1710796792
  NPD
• Global Wound Care Medical Group

  • General Practice Physician
  • Los Angeles, CA
  • NPI 1235831132
  NPD

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

{
    "created_epoch": "1668643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785196800000",
    "number": "1831808922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 S SAN GORGONIO AVE STE 202",
            "city": "BANNING",
            "state": "CA",
            "postal_code": "922206015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 S SAN GORGONIO AVE STE 202",
            "city": "BANNING",
            "state": "CA",
            "postal_code": "922206015",
            "telephone_number": "818-237-7955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLAN",
        "first_name": "CARLY ANN",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-17",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95023242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Merkel, CADC II
• Edward John Messmer, P.A-C
• Mfi Recovery Center
• Mfi Recovery Center
• MH Detention Services
• Stanley Kelly Miller, D.D.S.
• Ashley Mills
• Michael Kenneth Mindoro, M.D.
• Pamela Mitropoulos
• Rebecca Moldovan, FNP-C

• Family Nurse Practitioner in Banning, CA
• Providers in Banning, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2026; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.