Individual provider Active NPI

Carissa Miller

  • Registered Nurse
  • Elmira, NY
National Provider Identifier
1043924665
Registry record updated Nov 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
798087-01 Issued in NY
Practice address
911 Stowell St
Elmira, NY 14901-1428
Phone
(607) 737-5215
NPI assigned
Jan 9, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 798087-01 NY Primary

Addresses

Primary practice location

911 Stowell St
Elmira, NY 14901-1428

Mailing address

4612 Millennium Dr
Geneseo, NY 14454-1197
Phone (585) 443-2018

Other identifiers 2

IdentifierTypeStateIssuer
16-1039939OtherNYALL OTHER INSURNACES
16-1069939MedicaidNY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cmiller@casa-trinity.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
798087-01NYMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Casa-Trinity, Inc. CurrentSince Jan 15, 2023 Accepting new patients
Casa-Trinity, Inc. PastSince Jan 15, 2023 Accepting new patients

Locations

911 Stowell St
Elmira, NY 14901
Phone (607) 737-5215

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.

NPI Registry JSON

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

{
    "created_epoch": "1673222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762819200000",
    "number": "1043924665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4612 MILLENNIUM DR",
            "city": "GENESEO",
            "state": "NY",
            "postal_code": "144541197",
            "telephone_number": "585-443-2018",
            "fax_number": "585-991-5013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 STOWELL ST",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "149011428",
            "telephone_number": "607-737-5215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "CARISSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-09",
        "last_updated": "2025-11-11",
        "certification_date": "2025-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "798087-01",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALL OTHER INSURNACES",
            "identifier": "16-1039939",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "16-1069939",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cmiller@casa-trinity.org",
            "affiliation": "N",
            "endpointDescription": "Company email address",
            "address_1": "911 Stowell St",
            "city": "Elmira",
            "state": "NY",
            "country_code": "US",
            "postal_code": "149011428",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Elmira, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.