Active NPI
Kristin Miller, M.D.
- Family Medicine Physician
- El Reno, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 31454
- Practice address
- 605 SW 27TH St
El Reno, OK 73036-5928 - Phone
- (405) 295-2200
- Fax
- (405) 295-2178
- NPI assigned
- May 16, 2012
- Last updated
- Aug 10, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 31454 | OK | Primary |
Addresses
Primary practice location
605 SW 27TH St
El Reno, OK 73036-5928
Mailing address
605 SW 27TH St
El Reno, OK 73036-5928
Phone (405) 295-2200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
4300 McAuley Blvd
Oklahoma City, OK 73120-8302
Phone (405) 936-5455
4300 W Memorial Rd
Oklahoma City, OK 73120-8304
Phone (405) 755-1515
520 S Mustang Rd
Yukon, OK 73099-6737
Phone (405) 936-5910
Hospital & facility affiliations
- Mercy Home Health
- Mercy Hospital Oklahoma City, Inc
- O U Medical Center
- Integris Canadian Valley Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Hospital Logan County, Inc | Current | Accepting new patients | |
| Mercy Hospital Logan County Inc | Current | Accepting new patients | |
| Mercy Clinic Oklahoma Communities | Family Medicine | Current | Accepting new patients |
| Mercy Hospital Logan County, Inc | Current | Accepting new patients | |
| Mercy Oklahoma Ambulatory Services LLC | Current | Accepting new patients | |
| Summit Medical Center | Past | Accepting new patients | |
| Mercy Hospital Oklahoma City, Inc | Past | Accepting new patients |
Locations
1380 W Covell Rd
Ste 132
Edmond, OK 73003
Phone (405) 279-9637
200 S Academy Rd
Guthrie, OK 73044
Phone (405) 260-4165
2919 S Division St
Guthrie, OK 73044
Phone (405) 282-6301
12220 N MacArthur Blvd
Ste D
Oklahoma City, OK 73162
Phone (405) 437-1100
1919 E Memorial Rd
Oklahoma City, OK 73131
Phone (405) 341-7009
4300 McAuley Blvd
Oklahoma City, OK 73120
Phone (405) 936-5455
4300 W Memorial Rd
Oklahoma City, OK 73120
Phone (405) 752-3962
8325 NW Expressway
Oklahoma City, OK 73162
Phone (405) 728-8000
520 S Mustang Rd
Yukon, OK 73099
Phone (405) 256-6653
Networks
- devoted network organization-2b183dd2-4e80-4977-80a6-4fdf0df4361d
Interoperability endpoints
- kmiller709482@directc.mercy.net
Organizations & group practices 7
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.
-
- Family Medicine Physician
- Oklahoma City, OK
- NPI 1386874550
-
- Critical Access Hospital
- Guthrie, OK
- NPI 1306126818
-
- Urgent Care Clinic/Center
- Moore, OK
- NPI 1922509173
-
dba Mercy Hospital Logan County Guthrie Division Primary Care
- Rural Health Clinic/Center
- Guthrie, OK
- NPI 1184905507
-
dba Mercy Hospital Logan County Crescent Primary Care
- Rural Health Clinic/Center
- Crescent, OK
- NPI 1659652071
-
- Diagnostic Radiology Physician
- Yukon, OK
- NPI 1730326406
-
- General Acute Care Hospital
- Edmond, OK
- NPI 1356574560
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Yukon, OK
- NPI 1306865357
-
- General Acute Care Hospital
- Oklahoma City, OK
- NPI 1184721722
-
dba Mercy Home Health
- Home Health Agency
- Oklahoma City, OK
- NPI 1437256070
-
- General Acute Care Hospital
- Oklahoma City, OK
- NPI 1649794157
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1439164800000",
"number": "1023378650",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "605 SW 27TH ST",
"city": "EL RENO",
"state": "OK",
"postal_code": "730365928",
"telephone_number": "405-295-2200",
"fax_number": "405-295-2178"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "605 SW 27TH ST",
"city": "EL RENO",
"state": "OK",
"postal_code": "730365928",
"telephone_number": "405-295-2200",
"fax_number": "405-295-2178"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "KRISTIN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-05-16",
"last_updated": "2015-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OK",
"license": "31454",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in El Reno, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2015; 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.