MRS. NIKI M MILLESON (D.O.) – Family Medicine Physician, NPI 1225155997

MRS. NIKI M MILLESON (D.O.) is a healthcare provider. based in Afton, Wyoming. specializing in Family Medicine Physician. They hold the professional credentials D.O.. They hold a License No. 8420A (WY). The NPI Number for MRS. NIKI M MILLESON (D.O.) is 1225155997

Main info

Female
20 Years Of Experience
Accepts Medicare Assignment
Name
MRS. NIKI M MILLESON (D.O.)
NPI
1225155997
Phone
(307) 885-5852
Address
P. O. BOX 579
Enumeration Date
26 March 2007
Last Update Date
24 April 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3078855852
Graduation Year
2006 (20 years ago)
PAC ID
9537214309
Group Practice PAC ID
4789580218
Professional Enrollment ID
I20101004001427
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for MRS. NIKI M MILLESON (D.O.)

  • P. O. BOX 579

    110 HOSPITAL LANE

    AFTON, WY 831100579

    Phone: (307) 885-5852

    Fax: (307) 885-5889

    Type: Mailing

  • 110 HOSPITAL LANE

    AFTON, WY 831100579

    Phone: (307) 885-5852

    Fax: (307) 885-5889

    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: 2010-10-04

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
I20101004001427IFamily 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 83110)

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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: 4789580218View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeWY
Emergency MedicineWY
-WY
A N E S T H E S I O L O G YUT
Family PracticeWY
Cardiovascular Disease (Cardiology), Interventional CardiologyID
Physician AssistantWA
Emergency MedicineWY
Family PracticeWY
Physician AssistantIA

Reviews

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Frequently asked questions

Where can patients find MRS. NIKI M MILLESON (D.O.)'s NPI?
You can confirm MRS. NIKI M MILLESON (D.O.) with NPI 1225155997; it appears in the national provider directory.
Is MRS. NIKI M MILLESON (D.O.) active in the national directory?
MRS. NIKI M MILLESON (D.O.)'s public NPI profile is in an active state.
What kind of provider is MRS. NIKI M MILLESON (D.O.)?
The page reflects Family Medicine Physician for MRS. NIKI M MILLESON (D.O.). Clinical services aligned with this taxonomy classification.
Where does public data place MRS. NIKI M MILLESON (D.O.)?
The snapshot lists Afton, Wyoming for MRS. NIKI M MILLESON (D.O.); download NPPES for the complete set.
Is MRS. NIKI M MILLESON (D.O.) a real provider?
This page reflects official NPPES data for NPI 1225155997. Always confirm identity and privileges with the practice and licensing boards.

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