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MILLS FAMILY PRACTICE LLC
NPI 1912887357
Nurse Practitioner - Family in Mills, WY

Active since September 05, 2025CLIA 53D2339585 · Waiver
510 WYOMING BLVD SW, MILLS, WY 82644(307) 224-6078(307) 224-6099 Get Directions Write a Review

NPPES record last updated: September 5, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mills Family Practice Llc NPPES

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

MILLS FAMILY PRACTICE LLC (NPI 1912887357) is a healthcare organization registered as a family in Mills, Wyoming and active in the NPI registry since September 2025. The organization holds a CLIA Waiver certificate valid through March 3, 2028 and lists Kimberly Diane Kearney, Provider/owner, as its authorized official.

NPPES Registry Identity

NPI1912887357
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameMILLS FAMILY PRACTICE LLC
Location Address510 WYOMING BLVD SWMills, WY 82644
Mailing Address12473 Poison Spider RdCasper, WY 82604-9551 · (307) 224-6078 · Fax (307) 224-6099
Phone(307) 224-6078
Fax(307) 224-6099
Organization SubpartNo
Authorized OfficialKimberly Diane KearneyProvider/owner · (307) 224-6078
Enumeration DateSeptember 5, 2025
NPPES CertifiedAugust 25, 2025
✔ NPI 1912887357 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
510 WYOMING BLVD SW, Mills, WY 82644
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 53D2339585

Mills Family Practice LLC · Mills, WY
Active · expires Mar 3, 2028
CLIA Number53D2339585
Laboratory TypeNp Office
Certificate Effective DateMarch 4, 2026
Certificate Expiration DateMarch 3, 2028
Laboratory DirectorKimberly D. Kearney
Laboratory Phone(307) 224-6078
Laboratory LocationMills Family Practice LLC510 SW Wyoming Blvd, Mills, WY 82644
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Mills Family Practice LLC's NPI number?

The NPI number for Mills Family Practice LLC is 1912887357. It was assigned to this organization in the NPPES registry on September 5, 2025.

Where is Mills Family Practice LLC located?

Mills Family Practice LLC is located at 510 Wyoming Blvd SW, Mills, WY 82644. The listed phone number is (307) 224-6078.

What is Mills Family Practice LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Does Mills Family Practice LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 53D2339585) is associated with this NPI, valid through March 3, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Mills Family Practice LLC was last updated on September 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.