KARLI MCMILLAN (D.O.) – Family Medicine Physician, NPI 1063947026

KARLI MCMILLAN (D.O.) is a healthcare provider. based in Saint louis, Missouri. specializing in FAMILY PRACTICE. They hold the professional credentials D.O.. They hold a License No. 2021039551 (MO). The NPI Number for KARLI MCMILLAN (D.O.) is 1063947026

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
KARLI MCMILLAN (D.O.)
NPI
1063947026
Phone
(314) 288-0071
Address
3649 PAGE BLVD
Enumeration Date
27 April 2017
Last Update Date
8 April 2026

Doctor Profile

Medical School Name
LINCOLN MEMORIAL UNIVERSITY MEDICAL DEPARTMENT
Secondary Phone
-
Graduation Year
2017 (9 years ago)
PAC ID
5991061566
Group Practice PAC ID
2264340843
Professional Enrollment ID
I20211012000162
Address ID
WY826332434Do111XXSTXX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness85
Years active:9State licenses:1Digital endpointsOther names

2,330 FAMILY PRACTICE in MO

Provider Addresses for KARLI MCMILLAN (D.O.)

  • 3649 PAGE BLVD

    SAINT LOUIS, MO 631133807

    Phone: (314) 288-0071

    Fax: (314) 758-5210

    Type: Location

  • 3649 Page Blvd

    Saint Louis, MO 631133807

    Phone: (314) 288-0071

    Fax: (314) 758-5210

    Type: Location

  • 551, West 1250 South, Heber City, Heber, Wasatch County, Utah, 84032, United States

    HEBER CITY, UT 840322260

    Phone:

    Type: Mailing

  • 20201, Crawford Avenue, Olympia Fields, Rich Township, Cook County, Illinois, 60461, United States

    ATTN: POST DOCTURAL EDUCATION

    OLYMPIA FIELDS, IL 604611010

    Phone: (708) 747-4000

    Type: Location

  • 700 E CENTER ST

    DOUGLAS, WY 826332446

    Phone: (307) 358-7300

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $51.

Total Amount is formed as General ($51) + Research ($0) + Ownership ($0) = $51.

Last reported payment date: 2024-09-25 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($37).

Total Amount

$51

General + Research + Ownership

Payments

3

Total payment records

General Amount

$51

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-25

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-03-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240328002226IFamily PracticeWYTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 63113)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2264340843View full group profile
NameSpecialtyState
Diagnostic Radiology, Nuclear MedicineNJ
Nurse PractitionerWY
Certified Registered Nurse Anesthetist (Crna)WY
Emergency MedicineOR
A N E S T H E S I O L O G YWY
-CA
Hand Surgery, Orthopedic SurgeryWY
O B S T E T R I C S/ G Y N E C O L O G YNY
-WY
N E U R O S U R G E R YMI

Reviews

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Frequently asked questions

How do I look up KARLI MCMILLAN (D.O.) by NPI?
Use NPI 1063947026 when you need to reference KARLI MCMILLAN (D.O.) in forms, claims, or directories.
Is KARLI MCMILLAN (D.O.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is KARLI MCMILLAN (D.O.)?
The page reflects Family Medicine Physician for KARLI MCMILLAN (D.O.). Clinical services aligned with this taxonomy classification.
Where does public data place KARLI MCMILLAN (D.O.)?
The snapshot lists Saint Louis, Missouri for KARLI MCMILLAN (D.O.); download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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