Individual provider Active NPI

Nicholas Ryan Miller

  • Family Nurse Practitioner
  • Stamford, CT
National Provider Identifier
1043943541
Registry record updated Sep 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
349530 Issued in NY
Practice address
90 Morgan St Ste 103
Stamford, CT 06905-5436
Phone
(203) 978-3138
Fax
(033) 253-2702
NPI assigned
Jul 3, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 349530 NY Primary
Family Nurse Practitioner 363LF0000X 010863 CT

Addresses

Primary practice location

90 Morgan St Ste 103
Stamford, CT 06905-5436

Mailing address

130 Main St Apt E4
Norwalk, CT 06851-4669
Phone (312) 206-1106

Other practice location 1

130 Main St Apt E4
Norwalk, CT 06851-4669
Phone (312) 206-1106

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220912000362 NY Practitioner - Nurse Practitioner 1658651187 Reassigns benefits to 3 organizations
I20250729000939 CT Practitioner - Nurse Practitioner 1658651187 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Mercy College, 2022
Medicare assignment
May accept Medicare assignment
Group practices
LWH Medical PCGroup PAC ID 0941455976, 10 clinicians
Campbell Medical Services LLCGroup PAC ID 2163586454, 12 clinicians
Proactive Health Care Management LLCGroup PAC ID 8022497874, 38 clinicians

Practice addresses (Care Compare)

1811 Hone Ave
Bronx, NY 10461-1406
Phone (516) 499-9016

755 Campbell Ave
Suite 1
West Haven, CT 06516-3789
Phone (203) 937-1100

845 Paddock Ave
Meriden, CT 06450-7021
Phone (203) 238-2645

Hospital & facility affiliations

  • Griffin Hospital Hospital, Derby, CT, CCN 070031

Merit-based Incentive Payment System (MIPS)

Final score
23.92 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
79.74

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
93.33
Improvement activities
40
Cost
78.43

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
010863CTMDFamily Nurse Practitioner
349530NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Proactive Health Care Management,LLC Family CurrentSince Aug 15, 2025 Accepting new patients
Infinite Medical PC CurrentSince Aug 23, 2025 Accepting new patients
Amit MD PLLC CurrentSince Oct 1, 2022 Accepting new patients
NRM Medical LLC Family CurrentSince Oct 28, 2025 Accepting new patients
Campbell Medical Services, LLC Family CurrentSince Nov 1, 2025 Accepting new patients
Dialog Healthcare, LLC CurrentSince Dec 26, 2024 Accepting new patients
Lwhmedical PC CurrentSince Aug 1, 2022 Accepting new patients
New York City Health and Hospitals Corporation Past Accepting new patients

Locations

845 Paddock Ave
Meriden, CT 06450
Phone (203) 238-2645

4 Hazel Ave
Naugatuck, CT 06770
Phone (203) 720-3411

2 Belden Ave
Unit 2034
Norwalk, CT 06852

80 Fern Dr
Torrington, CT 06790
Phone (203) 294-7300

755 Campbell Ave
Ste 1
West Haven, CT 06516
Phone (203) 937-1100

50 Chestnut Ridge Rd
Ste 130
Montvale, NJ 07645
Phone (845) 213-3134

1235 Pelham Pkwy N
Bronx, NY 10469
Phone (718) 231-4300

1811 Hone Ave
Bronx, NY 10461
Phone (516) 499-9016

250 Skillman St
Ste 202
Brooklyn, NY 11205

78 Birchwood Dr
South Huntington, NY 11746
Phone (631) 423-3200

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • Direct secure messaging: nmiller1300755@nychhc.direct-ci.com

Organizations & group practices 8

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 1

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": "1656806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758758400000",
    "number": "1043943541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 MAIN ST APT E4",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068514669",
            "telephone_number": "312-206-1106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 MORGAN ST STE 103",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069055436",
            "telephone_number": "203-978-3138",
            "fax_number": "033-253-2702"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "130 Main St Apt E4",
            "address_purpose": "LOCATION",
            "city": "Norwalk",
            "state": "CT",
            "postal_code": "068514669",
            "country_code": "US",
            "telephone_number": "312-206-1106",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "NICHOLAS",
        "middle_name": "RYAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-07-03",
        "last_updated": "2025-09-25",
        "certification_date": "2025-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "349530",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "010863",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stamford, CT

Sources for this page

Verify at the official NPI Registry.