CARLY MILLINER – Speech-Language Pathologist, NPI 1215444542

CARLY MILLINER is a healthcare provider. based in Saint louis, Missouri. specializing in QUALIFIED SPEECH LANGUAGE PATHOLOGIST. They hold a License No. 2017024477 (MO). The NPI Number for CARLY MILLINER is 1215444542

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
CARLY MILLINER
NPI
1215444542
Phone
Not provided
Address
6900 WISE AVE
Enumeration Date
9 January 2018
Last Update Date
16 May 2022

Doctor Profile

Medical School Name
SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
3175790166
Graduation Year
2017 (9 years ago)
PAC ID
3779998406
Group Practice PAC ID
4385929892
Professional Enrollment ID
I20210210002682
Address ID
IN460379592FI11570STXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:8State licenses:1Digital endpointsOther names

192 QUALIFIED SPEECH LANGUAGE PATHOLOGIST in MO

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Provider Addresses for CARLY MILLINER

  • 6900, Wise Avenue, Hi-Pointe, City of Saint Louis, Missouri, 63139, United States

    SAINT LOUIS, MO 631393732

    Phone:

    Type: Mailing

  • Oak Park Care Center, 6637, Berthold Avenue, Oakland Terrace, City of Saint Louis, Missouri, 63139, United States

    SAINT LOUIS, MO 631393318

    Phone: (314) 781-3444

    Type: Location

  • 16763 LAKEVILLE XING

    WESTFIELD, IN 460748208

    Phone:

    Type: Mailing

  • 11570 E 126TH ST

    FISHERS, IN 460379592

    Phone: (317) 204-3736

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2021-02-10

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
I20210210002682IQualified Speech Language PathologistINTBD

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 63139)

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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: 4385929892View full group profile
NameSpecialtyState
Occupational Therapist In Private PracticeIN
Occupational Therapist In Private PracticeIN
Occupational Therapist In Private PracticeKS
Occupational Therapist In Private PracticeOH
-KY
Occupational Therapist In Private PracticeIN
Qualified Speech Language PathologistVA
Physical Therapist In Private PracticePA
Physical Therapist In Private PracticeIN
Occupational Therapist In Private PracticeIN

Reviews

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Frequently asked questions

What is CARLY MILLINER's NPI number?
CARLY MILLINER's NPI is 1215444542 — the number used across U.S. healthcare to identify this provider.
Active or inactive — what applies to CARLY MILLINER?
You should see CARLY MILLINER as active in CMS-hosted NPPES data.
What kind of doctor is CARLY MILLINER?
CARLY MILLINER is associated with Speech-Language Pathologist in the directory — Clinical services aligned with this taxonomy classification.
Is CARLY MILLINER associated with Saint Louis?
Public fields place CARLY MILLINER around Saint Louis, Missouri. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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