Active NPI
Lisa Lynette Miller, ARNP, BSN, MN
- Adult Health Nurse Practitioner
- Midland, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 4704212348
- Practice address
- 4100 Campus Ridge Dr
Midland, MI 48640-6139 - Phone
- (989) 839-3393
- NPI assigned
- Dec 19, 2006
- Last updated
- Nov 7, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 4704212348 | MI | Primary |
| Nurse Practitioner | 363L00000X | AP30007900 | WA |
Addresses
Primary practice location
4100 Campus Ridge Dr
Midland, MI 48640-6139
Mailing address
4000 Wellness Dr
Midland, MI 48670-2000
Other practice location 1
1100 Goethals Drive First Floor
Kadlec Neuroscience Center
Richland, WA 99352
Phone (509) 942-3080
Other practice location 2
1100 Goethals Drive First Floor
Kadlec Neuroscience Center
Richland, WA 99352
Phone (509) 942-3080
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0248141 | Other | WA | LABOR & INDUSTRIES |
| 9654609 | Medicaid | WA | |
| 200650026NP ACNP-PP | Other | OR | OR LICENSE |
| 2005009787-21 | Other | WA | WA LIC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- University of Washington School of Medicine, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
4000 Wellness Dr
Midland, MI 48670-2000
Phone (989) 633-8018
4100 Campus Ridge Dr
Midland, MI 48640-6139
Phone (989) 839-3060
4500 Campus Ridge Dr
Midland, MI 48640-6123
Phone (989) 837-9250
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Bachelor on Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP30007900 | WA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mymichigan Medical Group | Current | Accepting new patients | |
| Mymichigan Medical Center Midland | Current | Accepting new patients | |
| Mymichigan Medical Center Midland | Current | Accepting new patients | |
| Mymichigan Medical Center Alpena | Current | Accepting new patients |
Locations
602 Beech St
Ste 3100
Clare, MI 48617
Phone (989) 802-5020
4100 Campus Ridge Dr
Midland, MI 48640
Phone (989) 488-5450
4201 Campus Ridge Dr
Ste 4000
Midland, MI 48640
Phone (989) 839-3393
4000 Wellness Dr
Midland, MI 48670
Phone (844) 832-1956
4500 N Campus Ridge Dr
Midland, MI 48640
Phone (989) 837-9250
Interoperability endpoints
- lmiller80273@mymichiganhealth.midirect.net
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Multi-Specialty Clinic/Center
- Midland, MI
- NPI 1205889490
-
- Multi-Specialty Clinic/Center
- Midland, MI
- NPI 1689623506
-
dba MyMichigan Family Medicine
- Rural Health Clinic/Center
- Alpena, MI
- NPI 1144722604
-
- Anesthesiology Physician
- Midland, MI
- NPI 1649010455
Hospital & facility affiliations 10
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rural Acute Care Hospital
- Sault Sainte Marie, MI
- NPI 1619791431
-
- Rural Acute Care Hospital
- Alpena, MI
- NPI 1619914652
-
- General Acute Care Hospital
- Clare, MI
- NPI 1568414589
-
- Critical Access Hospital
- Gladwin, MI
- NPI 1235248071
-
dba Family Practice Center
- General Acute Care Hospital
- Midland, MI
- NPI 1376973149
-
- General Acute Care Hospital
- Midland, MI
- NPI 1902841414
-
dba MidMichigan Medical Center- West Branch
- Family Medicine Physician
- West Branch, MI
- NPI 1518418292
Hospital
-
- General Acute Care Hospital
- West Branch, MI
- NPI 1538566765
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762473600000",
"number": "1003970856",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4000 WELLNESS DR",
"city": "MIDLAND",
"state": "MI",
"postal_code": "486702000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4100 CAMPUS RIDGE DR",
"city": "MIDLAND",
"state": "MI",
"postal_code": "486406139",
"telephone_number": "989-839-3393"
}
],
"practiceLocations": [
{
"address_1": "1100 Goethals Drive First Floor",
"address_2": "Kadlec Neuroscience Center",
"address_purpose": "LOCATION",
"city": "Richland",
"state": "WA",
"postal_code": "99352",
"country_code": "US",
"telephone_number": "509-942-3080",
"fax_number": "509-942-3085",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1100 Goethals Drive First Floor",
"address_2": "Kadlec Neuroscience Center",
"address_purpose": "LOCATION",
"city": "Richland",
"state": "WA",
"postal_code": "99352",
"country_code": "US",
"telephone_number": "509-942-3080",
"fax_number": "509-942-3085",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MILLER",
"first_name": "LISA",
"middle_name": "LYNETTE",
"credential": "ARNP, BSN, MN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-19",
"last_updated": "2025-11-07",
"certification_date": "2025-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "MI",
"license": "4704212348",
"primary": true
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WA",
"license": "AP30007900",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LABOR & INDUSTRIES",
"identifier": "0248141",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9654609",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OR LICENSE",
"identifier": "200650026NP ACNP-PP",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WA LIC",
"identifier": "2005009787-21",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Midland, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.