Individual provider Active NPI

Danielle N Miller

  • Physician Assistant
  • Melbourne, FL
National Provider Identifier
1033494604
Registry record updated Mar 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9106734 Issued in FL
Practice address
1223 Gateway Dr Ste 1E
Melbourne, FL 32901-2607
Phone
(321) 725-4505
Fax
(321) 409-8932
NPI assigned
Oct 14, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 085004152 IL
Physician Assistant 363A00000X PA9106734 FL Primary

Addresses

Primary practice location

1223 Gateway Dr Ste 1E
Melbourne, FL 32901-2607

Mailing address

3300 S Fiske Blvd
Rockledge, FL 32955-4306

Other practice location 1

1220 N Highway A1A Ste 147
Indialantic, FL 32903-2858
Phone (321) 984-1333

Other practice location 2

730 Malabar Rd Ste B
Malabar, FL 32950-3140
Phone (321) 549-0696

Other identifiers 2

IdentifierTypeStateIssuer
GS836YOtherFLFL MEDICARE-
P01165541OtherFLFL RR MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20121213000251 FL Practitioner - Physician Assistant 9335314012 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Health First Medical Group, LLCGroup PAC ID 7416100672, 701 clinicians

Practice addresses (Care Compare)

699 W Cocoa Beach Cswy
Cocoa Beach, FL 32931-3562

Hospital & facility affiliations

  • Holmes Regional Medical Center Hospital, Melbourne, FL, CCN 100019
  • Cape Canaveral Hospital Hospital, Cocoa Beach, FL, CCN 100177
  • Viera Hospital Hospital, Melbourne, FL, CCN 100315

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA9106734FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Health First Medical Group, LLC CurrentSince Apr 1, 2013 Accepting new patients
Health First Medical Group, LLC CurrentSince Apr 1, 2013 Accepting new patients

Locations

699 W Cocoa Beach Cswy
Ste 405
Cocoa Beach, FL 32931
Phone (321) 868-7272

1220 N Highway A1A
Ste 147
Indialantic, FL 32903
Phone (321) 951-9087

730 Malabar Rd
Ste B
Malabar, FL 32950
Phone (321) 549-0696

1223 Gateway Dr
Ste 1E
Melbourne, FL 32901
Phone (321) 725-4505

1223 Gateway Dr
Melbourne, FL 32901
Phone (321) 549-0677

3300 S Fiske Blvd
Rockledge, FL 32955
Phone (321) 434-1771

Interoperability endpoints

  • Direct secure messaging: dmiller23098@epicdirect.hf.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 4

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": "1318550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583798400000",
    "number": "1033494604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 S FISKE BLVD",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329554306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1223 GATEWAY DR STE 1E",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329012607",
            "telephone_number": "321-725-4505",
            "fax_number": "321-409-8932"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1220 N Highway A1A Ste 147",
            "address_purpose": "LOCATION",
            "city": "Indialantic",
            "state": "FL",
            "postal_code": "329032858",
            "country_code": "US",
            "telephone_number": "321-984-1333",
            "fax_number": "321-409-8932",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "730 Malabar Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "Malabar",
            "state": "FL",
            "postal_code": "329503140",
            "country_code": "US",
            "telephone_number": "321-549-0696",
            "fax_number": "321-409-8932",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "DANIELLE",
        "middle_name": "N",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-14",
        "last_updated": "2020-03-10",
        "certification_date": "2020-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "IL",
            "license": "085004152",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9106734",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL MEDICARE-",
            "identifier": "GS836Y",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL RR MEDICARE",
            "identifier": "P01165541",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

Verify at the official NPI Registry.