Kristie Elizabeth Miller, NP-C

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

APRN.CNP.019601 Issued in OH

Practice address

452 Broadway Ave
Youngstown, OH 44504-1556

Phone

(330) 480-2866

Fax

(330) 480-4084

NPI assigned

Sep 7, 2016

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mercy Health Physicians Youngstown Specialty Care LLCGroup PAC ID 3476950296, 463 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• MH St Joseph Warren Hospital Hospital, Warren, OH, CCN 360161
• MH St Elizabeth Youngstown Hospital Hospital, Youngstown, OH, CCN 360064
• HMHP St Elizabeth Boardman Health Center Hospital, Boardman, OH, CCN 360276

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mercy Health Physicians Youngstown Specialty Care LLC

  • Surgery Physician
  • Youngstown, OH
  • NPI 1649892225
  Medicare reassignment Care Compare group NPD
• Mercy Health Physicians Youngstown, LLC

  • Family Medicine Physician
  • Youngstown, OH
  • NPI 1154636066
  Medicare reassignment
• Mercy Health Physicians Youngstown Specialty Care LLC

  • Durable Medical Equipment & Medical Supplies
  • Boardman, OH
  • NPI 1386316107
  NPD
• Mercy Health Physicians Youngstown Specialty Care LLC

  • Dentist
  • Youngstown, OH
  • NPI 1609544055
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Mercy Health Youngstown LLC

  • Clinical Medical Laboratory
  • Warren, OH
  • NPI 1538233309

  Hospital

  Care Compare affiliation
• Mercy Health Youngstown LLC

  • General Acute Care Hospital
  • Youngstown, OH
  • NPI 1548296106
  Care Compare affiliation
• Mercy Health Youngstown LLC

  • General Acute Care Hospital
  • Warren, OH
  • NPI 1629009964
  Care Compare affiliation
• Mercy Health Youngstown LLC

  • General Acute Care Hospital
  • Youngstown, OH
  • NPI 1790868982
  Care Compare affiliation
• Mercy Health Youngstown LLC

  • Clinical Medical Laboratory
  • Youngstown, OH
  • NPI 1831600295

  Hospital

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1473206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728604800000",
    "number": "1013464080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "452 BROADWAY AVE",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445041556",
            "telephone_number": "330-480-2866",
            "fax_number": "330-480-4084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "452 BROADWAY AVE",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445041556",
            "telephone_number": "330-480-2866",
            "fax_number": "330-480-4084"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5533 Mahoning Ave Fl 2",
            "address_purpose": "LOCATION",
            "city": "Austintown",
            "state": "OH",
            "postal_code": "445152366",
            "country_code": "US",
            "telephone_number": "330-793-2707",
            "fax_number": "330-793-8688",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9471 Market St",
            "address_purpose": "LOCATION",
            "city": "North Lima",
            "state": "OH",
            "postal_code": "444528702",
            "country_code": "US",
            "telephone_number": "330-726-7100",
            "fax_number": "330-758-0347",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1932 Niles Cortland Rd NE",
            "address_purpose": "LOCATION",
            "city": "Warren",
            "state": "OH",
            "postal_code": "444841055",
            "country_code": "US",
            "telephone_number": "330-856-7702",
            "fax_number": "330-856-7704",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "330 Wick Ave",
            "address_purpose": "LOCATION",
            "city": "Youngstown",
            "state": "OH",
            "postal_code": "445031002",
            "country_code": "US",
            "telephone_number": "330-747-4660",
            "fax_number": "330-747-4661",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "330 Wick Ave",
            "address_purpose": "LOCATION",
            "city": "Youngstown",
            "state": "OH",
            "postal_code": "445031002",
            "country_code": "US",
            "telephone_number": "330-747-4660",
            "fax_number": "330-747-4661",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "605 E Ohio Ave",
            "address_purpose": "LOCATION",
            "city": "Sebring",
            "state": "OH",
            "postal_code": "446721643",
            "country_code": "US",
            "telephone_number": "330-537-4661",
            "fax_number": "330-537-4482",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4694 Belmont Ave",
            "address_purpose": "LOCATION",
            "city": "Youngstown",
            "state": "OH",
            "postal_code": "445051012",
            "country_code": "US",
            "telephone_number": "330-480-7667",
            "fax_number": "330-759-3851",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "107 Royal Birkdale Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Columbiana",
            "state": "OH",
            "postal_code": "444088493",
            "country_code": "US",
            "telephone_number": "330-482-9350",
            "fax_number": "330-482-2336",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "564 E 2nd St",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "OH",
            "postal_code": "444602914",
            "country_code": "US",
            "telephone_number": "234-567-8150",
            "fax_number": "234-567-8189",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "KRISTIE",
        "middle_name": "ELIZABETH",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-07",
        "last_updated": "2024-10-11",
        "certification_date": "2024-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "OH",
            "license": "APRN.CNP.019601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamie L Miller, MA
• Jamie Lynn Miller
• Keith N Miller, D.O.
• Kelsey Marie Miller
• Kenneth Lee Miller, LPCC-S
• Kwon T. Miller, D.O.
• Larry Miller III
• Laura Leigh Miller, MD
• Lynsey M Miller, LPN
• Madeline Darlene Miller, MD

• Primary Care Nurse Practitioner in Youngstown, OH
• Providers in Youngstown, OH by specialty
• Primary Care Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2024; 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.

Verify at the official NPI Registry.