Individual provider Active NPI

Krislyn N Miller, DO

  • Surgery Physician
  • Englewood, CO
National Provider Identifier
1023240785
Registry record updated Mar 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
TL0006055 Issued in CO
Practice address
601 E Hampden Ave Ste 220
Englewood, CO 80113-3781
Phone
(303) 788-5084
NPI assigned
Aug 13, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 22, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN-964 HI
Family Nurse Practitioner 363LF0000X APRN-RX 251 HI
Surgery Physician 208600000X TL0006055 CO Primary

Addresses

Primary practice location

601 E Hampden Ave Ste 220
Englewood, CO 80113-3781

Mailing address

3147 Promontory Loop
Broomfield, CO 80023-8054
Phone (808) 987-6108

Other practice location 1

76-6225 Kuakini Hwy Ste C101
Kailua Kona, HI 96740-3212
Phone (808) 329-7067

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL krislyn.foster@healthonecares.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230124001013 CA Practitioner - General Surgery 4486949716 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
At Still Un of HLTH Sciences, Col of Osteo Med, Mesa, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Enloe Specialty Physicians IncGroup PAC ID 7416111893, 24 clinicians

Practice addresses (Care Compare)

265 Cohasset Rd
Chico, CA 95926-2273
Phone (530) 332-3808

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.76 of 100Reported as group
Quality
68.68
Promoting interoperability
100
Improvement activities
40
Cost
67.22

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy56
Melanoma (skin cancer) excision1-10
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
20135CAMDAcupuncturist
TL0006055COMDSurgery Physician
APRN-964HIMDFamily Nurse Practitioner
APRN-RX 251HIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Enloe Specialty Physicians, Inc CurrentSince Sep 17, 2022 Accepting new patients
Enloe Medical Center Past Accepting new patients

Locations

251 Cohasset Rd
Chico, CA 95926
Phone (530) 332-3980

1720 Esplanade
Ste B
Chico, CA 95926
Phone (530) 332-4530

265 Cohasset Rd
Chico, CA 95926
Phone (530) 332-3808

1390 E Lassen Ave
Chico, CA 95973
Phone (530) 332-6332

Interoperability endpoints

  • Direct secure messaging: kmiller66137@enloedirect.org

Organizations & group practices 2

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.

Hospital & facility affiliations 2

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": "1250121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584835200000",
    "number": "1023240785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3147 PROMONTORY LOOP",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800238054",
            "telephone_number": "808-987-6108",
            "fax_number": "808-987-6108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 E HAMPDEN AVE STE 220",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801133781",
            "telephone_number": "303-788-5084"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "76-6225 Kuakini Hwy Ste C101",
            "address_purpose": "LOCATION",
            "city": "Kailua Kona",
            "state": "HI",
            "postal_code": "967403212",
            "country_code": "US",
            "telephone_number": "808-329-7067",
            "fax_number": "808-329-2404",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "KRISLYN",
        "middle_name": "N",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-13",
        "last_updated": "2020-03-22",
        "certification_date": "2020-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "HI",
            "license": "APRN-964",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "HI",
            "license": "APRN-RX 251",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CO",
            "license": "TL0006055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "krislyn.foster@healthonecares.com",
            "affiliation": "N",
            "address_1": "601 E Hampden Ave Ste 220",
            "city": "Englewood",
            "state": "CO",
            "country_code": "US",
            "postal_code": "801133781",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Englewood, CO

Sources for this page

Verify at the official NPI Registry.