Matthew Derrick Miller, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

247267 Issued in AZ

Practice address

9354 E Thatcher Cir
Mesa, AZ 85212-8539

Phone

(480) 427-8381

NPI assigned

Sep 12, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Accurate Care Chiropractic & Acupuncture

  • Chiropractor
  • Scottsdale, AZ
  • NPI 1114351228
  Medicare reassignment NPD
• Restore Vascular PLLC

  • Phlebology Physician
  • Queen Creek, AZ
  • NPI 1396452611
  Medicare reassignment NPD
• Health Scottsdale

  • Nurse Practitioner
  • Scottsdale, AZ
  • NPI 1538936356
  NPD Authorized official
• Health Scottsdale

  • Primary Care Clinic/Center
  • Scottsdale, AZ
  • NPI 1710757349
  NPD Authorized official
• Trinity Healthcare Center PLLC

  • Physical Medicine & Rehabilitation Physician
  • Queen Creek, AZ
  • NPI 1407717986
  NPD (past)

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

{
    "created_epoch": "1599868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599868800000",
    "number": "1053926410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9354 E THATCHER CIR",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852128539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9354 E THATCHER CIR",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852128539",
            "telephone_number": "480-427-8381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "MATTHEW",
        "middle_name": "DERRICK",
        "name_prefix": "Mr.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-09-12",
        "last_updated": "2020-09-12",
        "certification_date": "2020-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "247267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelsie Ryan Miller
• Kyle James Miller, PHARMD
• Maggie Miller, OTD, OTR/L
• Malgorzata Miller
• Marci S Miller, OTR/L
• Meleana Naomirose Miller
• Melinda Miller
• Merlin James Miller, ATC
• Nadine Anne Miller, RN
• Nicholas Miller, LPC

• Family Nurse Practitioner in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.

Verify at the official NPI Registry.