Active NPI
Milissa Miller, CRNP
- Adult Health Nurse Practitioner
- Pittsburgh, PA
National Provider Identifier
1043681695
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- TP001955K
- Practice address
- 420 E North Ave Ste 304
Pittsburgh, PA 15212-4746 - Phone
- (412) 359-4068
- Fax
- (412) 359-6732
- NPI assigned
- Oct 8, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | TP001955K | PA | Primary |
Addresses
Primary practice location
420 E North Ave Ste 304
Pittsburgh, PA 15212-4746
Mailing address
420 E North Ave Ste 304
Pittsburgh, PA 15212-4746
Phone (412) 359-4068
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mmiller20982@direct.ahn.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160511001410 | PA | Order and Referring Only - Nurse Practitioner | 7315236528 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TP001955K | PA | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allegheny Clinic | Past | Accepting new patients |
Interoperability endpoints
- mmiller20982@direct.ahn.org
Organizations & group practices 1
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.
-
- Primary Care Clinic/Center
- Pittsburgh, PA
- NPI 1215752548
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1444262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605052800000",
"number": "1043681695",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "420 E NORTH AVE STE 304",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152124746",
"telephone_number": "412-359-4068",
"fax_number": "412-359-6732"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 E NORTH AVE STE 304",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152124746",
"telephone_number": "412-359-4068",
"fax_number": "412-359-6732"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "MILISSA",
"credential": "CRNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-10-08",
"last_updated": "2020-11-11",
"certification_date": "2020-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "PA",
"license": "TP001955K",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mmiller20982@direct.ahn.org",
"affiliation": "N",
"address_1": "420 E North Ave Ste 304",
"city": "Pittsburgh",
"state": "PA",
"country_code": "US",
"postal_code": "152124746",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Pittsburgh, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2020; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.