Individual provider Active NPI

Lynne Nicole Miller, DNP, CRNA

  • Certified Registered Nurse Anesthetist
  • Charleston, SC
National Provider Identifier
1013635010
Registry record updated Jul 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
28295 Issued in PA
Practice address
2095 Henry Tecklenburg Dr
Charleston, SC 29414-5733
Phone
(843) 402-1436
Fax
(843) 402-1833
NPI assigned
Aug 16, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN671029 PA
Certified Registered Nurse Anesthetist 367500000X 28295 PA Primary

Addresses

Primary practice location

2095 Henry Tecklenburg Dr
Charleston, SC 29414-5733

Mailing address

PO Box 751874
Charlotte, NC 28275-1874
Phone (843) 402-5200

Other practice location 1

1200 S Cedar Crest Blvd Fl 2
Allentown, PA 18103-6202
Phone (610) 402-1374

Other practice location 2

100 Callen Blvd
Summerville, SC 29486-2807
Phone (800) 454-9902

Other practice location 3

1235 Nexton Pkwy Bldg 4
Summerville, SC 29486-2935
Phone (843) 900-6225

Other practice location 4

2435 Forest Dr
Columbia, SC 29204-2026
Phone (803) 256-5300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, SC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20221222002528 PA Practitioner - Certified Registered Nurse Anesthetist (Crna) 4880064401 Reassigns benefits to 3 organizations
I20240315002697 SC Practitioner - Certified Registered Nurse Anesthetist (Crna) 4880064401 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bon Secours St Francis Xavier Hospital IncGroup PAC ID 8325008717, 202 clinicians
Musc Community PhysiciansGroup PAC ID 6507260668, 1,353 clinicians
Trident Anesthesia Group LLCGroup PAC ID 5294631545, 121 clinicians

Practice addresses (Care Compare)

2095 Henry Tecklenburg Dr
Charleston, SC 29414-5733
Phone (843) 402-1436

3000 Saint Matthews Rd
Orangeburg, SC 29118-1442
Phone (803) 395-3400

9330 Medical Plaza Dr
Charleston, SC 29406-9104
Phone (843) 797-7000

Hospital & facility affiliations

  • Roper St Francis Hospital-Berkeley Inc Hospital, Summerville, SC, CCN 420110
  • Musc Health Florence Medical Center Hospital, Florence, SC, CCN 420091
  • Trident Medical Center Hospital, Charleston, SC, CCN 420079

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN671029PAMDRegistered Nurse
28295PAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Musc Community Physicians CurrentSince Aug 1, 2025 Accepting new patients
Bon Secours St. Francis Xavier Hospital, Inc. CurrentSince Aug 15, 2025 Accepting new patients
Lehigh Valley Physician Group CurrentSince Dec 29, 2023 Accepting new patients
Musc Community Physicians Current Accepting new patients
Lehigh Valley Anesthesia Services, P. C. Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2022 Accepting new patients
Lehigh Valley Physician Group CurrentSince Dec 29, 2023 Accepting new patients
Bon Secours St Francis Xavier Hospital, Inc. Current Accepting new patients
Lehigh Valley Physician Group Current Accepting new patients
Bon Secours St. Francis Xavier Hospital, Inc. Nurse Anesthetist, Certified Registered CurrentSince Aug 15, 2025 Accepting new patients
Professional Anesthesia Services of North America P.C. Nurse Anesthetist, Certified Registered CurrentSince Aug 21, 2023 Accepting new patients
North Charleston Sedation Associates, LLC Nurse Anesthetist, Certified Registered CurrentSince May 1, 2025 Accepting new patients
Trident Anesthesia Group, LLC CurrentSince Mar 1, 2024 Accepting new patients
North American Partners in Anesthesia, Pennsylvania , LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 12, 2023 Accepting new patients
Musc Community Physicians CurrentSince Aug 1, 2025 Accepting new patients
PPCP Endoscopy LLC PastSince Jun 4, 2023 Accepting new patients

Locations

1200 S Cedar Crest Blvd
Fl 2
Allentown, PA 18103
Phone (610) 402-6164

1200 S Cedar Crest Blvd
Allentown, PA 18103
Phone (484) 862-3200

2100 Mack Blvd
Allentown, PA 18103
Phone (484) 224-1892

2310 Highland Ave
Bethlehem, PA 18020
Phone (610) 691-4300

2545 Schoenersville Rd
Bethlehem, PA 18017
Phone (484) 884-2888

206 E Brown St
East Stroudsburg, PA 18301
Phone (570) 420-4951

3780 Hecktown Rd
Easton, PA 18045
Phone (484) 561-6593

111 S Front St
Harrisburg, PA 17101
Phone (717) 782-3282

5649 Wynnewood Dr
Ste 104
Laurys Station, PA 18059
Phone (610) 262-6641

4300 Londonderry Rd
Lower Paxton, PA 17109
Phone (717) 597-7044

8835 Germantown Ave
Philadelphia, PA 19118
Phone (215) 248-8227

100 E Lancaster Ave
Ste 158
Wynnewood, PA 19096
Phone (484) 206-5800

506 North St
Bamberg, SC 29003
Phone (803) 245-6290

2095 Henry Tecklenburg Dr
Charleston, SC 29414
Phone (843) 402-1037

2435 Forest Dr
Columbia, SC 29204
Phone (770) 874-6859

8536 Palmetto Commerce Pkwy
Ste 501
Ladson, SC 29456
Phone (843) 203-2260

423 Barony St
Moncks Corner, SC 29461

9313 Medical Plaza Dr
Ste 102
North Charleston, SC 29406
Phone (843) 572-1228

9330 Medical Plaza Dr
North Charleston, SC 29406
Phone (843) 554-6366

3000 Saint Matthews Rd
Orangeburg, SC 29118
Phone (803) 395-2200

295 Midland Pkwy
Summerville, SC 29485
Phone (843) 554-6366

100 Callen Blvd
Summerville, SC 29486
Phone (845) 529-3165

1235 Nexton Pkwy
Bldg 4
Summerville, SC 29486
Phone (843) 814-8486

1235 Nexton Pkwy
Summerville, SC 29486
Phone (843) 459-8400

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1660608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752451200000",
    "number": "1013635010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 751874",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282751874",
            "telephone_number": "843-402-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2095 HENRY TECKLENBURG DR",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294145733",
            "telephone_number": "843-402-1436",
            "fax_number": "843-402-1833"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 S Cedar Crest Blvd Fl 2",
            "address_purpose": "LOCATION",
            "city": "Allentown",
            "state": "PA",
            "postal_code": "181036202",
            "country_code": "US",
            "telephone_number": "610-402-1374",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Callen Blvd",
            "address_purpose": "LOCATION",
            "city": "Summerville",
            "state": "SC",
            "postal_code": "294862807",
            "country_code": "US",
            "telephone_number": "800-454-9902",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1235 Nexton Pkwy Bldg 4",
            "address_purpose": "LOCATION",
            "city": "Summerville",
            "state": "SC",
            "postal_code": "294862935",
            "country_code": "US",
            "telephone_number": "843-900-6225",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2435 Forest Dr",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292042026",
            "country_code": "US",
            "telephone_number": "803-256-5300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "LYNNE",
        "middle_name": "NICOLE",
        "credential": "DNP, CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-16",
        "last_updated": "2025-07-14",
        "certification_date": "2025-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN671029",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "PA",
            "license": "28295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.