Antoinette Marie Miller, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

209015920 Issued in IL

Practice address

3331 W Deyoung St Ste 301
Marion, IL 62959-5898

Phone

(618) 998-7239

Fax

(618) 998-4365

NPI assigned

Nov 29, 2016

Last updated

Jun 5, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 3

Medicare fee-for-service enrollment

Enrolled in IL

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

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Deaconess Illinois Specialty Clinic, Inc.Group PAC ID 9830562016, 145 clinicians

Deaconess Illinois Union County Hospital IncGroup PAC ID 3072986025, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Heartland Regional Medical Center Hospital, Marion, IL, CCN 140184
• Deaconess Illinois Union County Hospital, Anna, IL, CCN 141342
• Marshall Browning Hospital Hospital, Du Quoin, IL, CCN 141331
• Herrin Hospital Hospital, Herrin, IL, CCN 140011

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: amiller13559@sih.direct-ci.com
• Direct secure messaging: amiller887089@direct.deaconess.com

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.

• Deaconess Illinois Specialty Clinic, Inc.

  dba Deaconess IL Specialty 3331 DeYoung

  • Surgery Physician
  • Marion, IL
  • NPI 1972210235

  Nurse Practitioner

  Medicare reassignment Care Compare group NPD
• Deaconess Illinois Union County Hospital Inc

  dba Deaconess Illinois Rural Health Clinic Anna

  • Rural Health Clinic/Center
  • Anna, IL
  • NPI 1184340408

  Nurse Practitioner

  Medicare reassignment Care Compare group NPD
• Marshall Browning Hospital Association

  • Critical Access Hospital
  • Du Quoin, IL
  • NPI 1821099441
  Medicare reassignment NPD
• Southern Illinois Medical Services, NFP

  dba SIH Medical Group

  • Internal Medicine Physician
  • Carbondale, IL
  • NPI 1770656837
  Medicare reassignment NPD
• Deaconess Illinois Specialty Clinic, Inc.

  dba Deaconess Care Group Illinois Union County

  • Hospitalist Physician
  • Anna, IL
  • NPI 1225858251

  Nurse Practitioner

  NPD
• Deaconess Illinois Specialty Clinic, Inc.

  dba Deaconess Care Group Illinois

  • Hospitalist Physician
  • Marion, IL
  • NPI 1558067488

  Nurse Practitioner

  NPD
• Marshall Browning Hospital Association

  dba MBH East Medical Clinic

  • Rural Health Clinic/Center
  • Du Quoin, IL
  • NPI 1912490277
  NPD
• Anna Clinic Corp

  dba Union County Family Medicine

  • Family Medicine Physician
  • Anna, IL
  • NPI 1467671263
  NPD (past)
• Marshall Browning Hospital Association

  dba Marshall Browning Hospital Physicians Clinic

  • Rural Health Clinic/Center
  • Du Quoin, IL
  • NPI 1164666988
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Deaconess Illinois Union County Hospital Inc

  dba Deaconess Illinois Union County

  • Critical Access Hospital
  • Anna, IL
  • NPI 1710604483
  Care Compare affiliation
• Deaconess Regional Healthcare Services Illinois Inc

  dba Deaconess Illinois Medical Center

  • General Acute Care Hospital
  • Marion, IL
  • NPI 1750007266
  Care Compare affiliation
• Marshall Browning Hospital Association

  • Critical Access Hospital
  • Du Quoin, IL
  • NPI 1821099441
  Care Compare affiliation
• Southern Illinois Hospital Services

  dba Herrin Hospital

  • General Acute Care Hospital
  • Herrin, IL
  • NPI 1528158573
  Care Compare affiliation

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

{
    "created_epoch": "1480377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749081600000",
    "number": "1053854729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3331 W DEYOUNG ST STE 301",
            "city": "MARION",
            "state": "IL",
            "postal_code": "629595898",
            "telephone_number": "618-998-7239",
            "fax_number": "618-998-4365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3331 W DEYOUNG ST STE 301",
            "city": "MARION",
            "state": "IL",
            "postal_code": "629595898",
            "telephone_number": "618-998-7239",
            "fax_number": "618-998-4365"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "515 N Main St Ste C",
            "address_purpose": "LOCATION",
            "city": "Anna",
            "state": "IL",
            "postal_code": "629061668",
            "country_code": "US",
            "telephone_number": "618-833-2872",
            "fax_number": "618-833-9433",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "900 N Washington St",
            "address_purpose": "LOCATION",
            "city": "Du Quoin",
            "state": "IL",
            "postal_code": "628321233",
            "country_code": "US",
            "telephone_number": "618-542-1045",
            "fax_number": "618-542-4756",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "ANTOINETTE",
        "middle_name": "MARIE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-29",
        "last_updated": "2025-06-05",
        "certification_date": "2025-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209015920",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1053854729",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amiller13559@sih.direct-ci.com",
            "affiliation": "N",
            "address_1": "404 Lincoln Dr",
            "city": "Herrin",
            "state": "IL",
            "country_code": "US",
            "postal_code": "62948",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amiller13559@sih.direct-ci.com",
            "affiliation": "N",
            "address_1": "2601 W Main St",
            "city": "Carbondale",
            "state": "IL",
            "country_code": "US",
            "postal_code": "629011031",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "antoinette.miller@deaconess.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "2601 W Main St",
            "city": "Carbondale",
            "state": "IL",
            "country_code": "US",
            "postal_code": "629011031",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jamya Mickiel, BSW
• Midwest Agricultural Wellness Institute
• Arlene Eloise Miksanek, M.D.
• Emily Miles, BSN, RN
• Miller Spinal Health and Wellness Center S C
• Guy Bradford Miller, D.C.
• Kelsey Ryan Miller
• Mona Miller
• Robert L Miller, M.D.
• Mills Wellness Center LLC

• Nurse Practitioner in Marion, IL
• Providers in Marion, IL by specialty
• Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2025; 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.

Verify at the official NPI Registry.