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KARRI MACMILLAN
NPI 1467865188
Family Medicine in Grand Rapids, MI

Active since June 10, 2014PECOS EnrolledAccepts Medicare Assignment
300 LAFAYETTE AVE SE STE 4200, GRAND RAPIDS, MI 49503(616) 685-6921(616) 685-5105 Get Directions Write a Review

NPPES record last updated: September 19, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Karri Macmillan NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KARRI MACMILLAN (NPI 1467865188) is an individual family medicine provider in Grand Rapids, Michigan, licensed in Michigan (5101022964) and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS, is affiliated with Mercy Health Saint Mary's, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1467865188
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameKARRI MACMILLAN
Location Address300 LAFAYETTE AVE SE STE 4200Grand Rapids, MI 49503-4692
Mailing Address1900 44th St SeKentwood, MI 49508-5008
Phone(616) 685-6921
Fax(616) 685-5105
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJune 10, 2014
Last NPPES UpdateSeptember 19, 2017
✔ NPI 1467865188 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MI · 5101022964
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
300 LAFAYETTE AVE SE STE 4200, Grand Rapids, MI 49503
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Karri Macmillan is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID749409944
PECOS Enrollment IDI20170728001227
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
91 services53 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
19 services16 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mercy Health Saint Mary's

Acute Care Hospitals · Grand Rapids, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number230059
Location200 Jefferson Avenue SEGrand Rapids, MI 49503 · Kent County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49503 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Karri Macmillan's NPI number?

The NPI number for Karri Macmillan is 1467865188. It was assigned to this individual provider in the NPPES registry on June 10, 2014.

Where is Karri Macmillan located?

Karri Macmillan practices at 300 Lafayette Ave SE Ste 4200, Grand Rapids, MI 49503. The listed phone number is (616) 685-6921.

What is Karri Macmillan's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Karri Macmillan enrolled in Medicare?

Yes. Karri Macmillan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Karri Macmillan accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company and Priority Health list Karri Macmillan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Karri Macmillan affiliated with any hospitals?

According to CMS data, Karri Macmillan is affiliated with Mercy Health Saint Mary's.

When was this NPI record last updated?

The NPPES record for Karri Macmillan was last updated on September 19, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.