Individual provider Active NPI

Michelle H Miller, AUD

  • Audiologist
  • Raleigh, NC
National Provider Identifier
1053965491
Registry record updated Jul 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
Practice address
4600 Lake Boone TRL Ste 100
Raleigh, NC 27607-7529
Phone
(919) 787-1374
NPI assigned
Jul 24, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X Primary

Addresses

Primary practice location

4600 Lake Boone TRL Ste 100
Raleigh, NC 27607-7529

Mailing address

4600 Lake Boone TRL Ste 100
Raleigh, NC 27607-7529
Phone (919) 787-1374

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191021001617 NC Practitioner - Qualified Audiologist 2365774569 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Maico Audiological ServicesGroup PAC ID 2365344074, 7 clinicians

Practice addresses (Care Compare)

10320 Durant Rd
Suite 107
Raleigh, NC 27614-6466
Phone (919) 790-8889

Merit-based Incentive Payment System (MIPS)

Final score
89.65 of 100Reported as group
Quality
93.93
Promoting interoperability
100
Improvement activities
40
Cost
71.56

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13792NCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Raleigh Hearing and Tinnitus Center LLC CurrentSince Nov 18, 2024 Accepting new patients
Maico Audiological Services Audiologist CurrentSince Nov 18, 2024 Accepting new patients
Raleigh Capitol Ear, Nose, and Throat CurrentSince Jun 24, 2019 Accepting new patients
Capitol Ear, Nose & Throat Audiologist PastSince Jun 24, 2019 Accepting new patients

Locations

149 Plantation Ridge Dr
Ste 140
Mooresville, NC 28117

10320 Durant Rd
Ste 107
Raleigh, NC 27614
Phone (919) 790-8889

4600 Lake Boone Trl
Raleigh, NC 27607
Phone (919) 787-1374

3010 Anderson Dr
Raleigh, NC 27609
Phone (919) 420-2029

4600 Lake Boone Trl
Ste 100
Raleigh, NC 27607
Phone (919) 420-2027

Interoperability endpoints

  • Direct secure messaging: mmiller@raleighcapitolent.emadirect.md

Organizations & group practices 4

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": "1563926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563926400000",
    "number": "1053965491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 LAKE BOONE TRL STE 100",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276077529",
            "telephone_number": "919-787-1374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 LAKE BOONE TRL STE 100",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276077529",
            "telephone_number": "919-787-1374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "MICHELLE",
        "middle_name": "H",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-24",
        "last_updated": "2019-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.