Individual provider Active NPI

Kayla Nicole Carroll

  • Family Nurse Practitioner
  • Minerva, OH
National Provider Identifier
1992562318
Registry record updated May 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.0035969 Issued in OH
Practice address
1028 E Lincolnway
Minerva, OH 44657-1216
Phone
(330) 868-6044
NPI assigned
Mar 4, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2026

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 APRN.CNP.0035969 OH Primary

Addresses

Primary practice location

1028 E Lincolnway
Minerva, OH 44657-1216

Mailing address

1028 E Lincolnway
Minerva, OH 44657-1216

Other names 1

  • Kayla McMillen Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20240508002567 OH Practitioner - Nurse Practitioner 6103267133 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pioneer Physicians Network Inc 92 clinicians

Practice addresses (Care Compare)

1028 E Lincolnway
Minerva, OH 44657-1216
Phone (330) 868-6044

Hospital & facility affiliations

  • Aultman Hospital Hospital, Canton, OH, CCN 360084
  • Alliance Community Hospital Hospital, Alliance, OH, CCN 360131
  • Mercy Medical Center Hospital, Canton, OH, CCN 360070

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN.CNP.0035969OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pioneer Physicians Network Inc CurrentSince Apr 1, 2024 Accepting new patients
Pioneer Physicians Network, Inc. CurrentSince Apr 1, 2024 Accepting new patients

Locations

3515 Massillon Rd
Ste 300
Green, OH 44685
Phone (234) 271-3353

1028 E Lincolnway
Minerva, OH 44657
Phone (330) 868-6044

3300 Greenwich Rd
Unit 8
Norton, OH 44203
Phone (330) 825-7371

65 Community Rd
Ste F
Tallmadge, OH 44278
Phone (330) 633-3680

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BBBCAA
  • Direct secure messaging: kayla.mcmillen@ppn.eclinicaldirectplus.com

Organizations & group practices 3

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": "1709510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778457600000",
    "number": "1992562318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1028 E LINCOLNWAY",
            "city": "MINERVA",
            "state": "OH",
            "postal_code": "446571216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1028 E LINCOLNWAY",
            "city": "MINERVA",
            "state": "OH",
            "postal_code": "446571216",
            "telephone_number": "330-868-6044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARROLL",
        "first_name": "KAYLA",
        "middle_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-04",
        "last_updated": "2026-05-11",
        "certification_date": "2026-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0035969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAYLA",
            "last_name": "MCMILLEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Minerva, OH

Sources for this page

Verify at the official NPI Registry.