Individual provider Active NPI

Angel Miller, APRN

  • Family Nurse Practitioner
  • Elizabethtown, KY
National Provider Identifier
1063985984
Registry record updated Sep 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3012440 Issued in KY
Practice address
1107 Crown Pointe Dr Ste 107
Elizabethtown, KY 42701-7280
Phone
(270) 506-3300
Fax
(270) 506-2843
NPI assigned
Jan 3, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3012440 KY Primary

Addresses

Primary practice location

1107 Crown Pointe Dr Ste 107
Elizabethtown, KY 42701-7280

Mailing address

PO Box 21890
Belfast, ME 04915-4115
Phone (502) 907-0356

Other practice location 1

101 Prosperous Pl Ste 300
Lexington, KY 40509-1836
Phone (859) 275-5229

Other practice location 2

935 Chambers Blvd
Bardstown, KY 40004-2575
Phone (270) 506-3300

Other identifiers 9

IdentifierTypeStateIssuer
14388051OtherCAQH PROVIDER ID
PDZ000000228298OtherKYAETNA BETTER HEALTH OF KY PROVIDER ID NUMBER
6976343OtherUNITED HEALTHCARE PROVIDER ID NUMBER
CS1908400320OtherCARESOURCE PROVIDER ID NUMBER
7100579240MedicaidKY
300021545MedicaidIN
6645104OtherAETNA PROVIDER ID NUMBER
000001232675OtherANTHEM PROVIDER ID NUMBER
1796137OtherKYWELLCARE OF KY PROVIDER ID NUMBER

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address angel.miller.1@16521.direct.athenahealth.com Commonwealth Pain Associates, PLLC

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20190125000950 KY Practitioner - Nurse Practitioner 5294072468 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Commonwealth Pain Associates PLLCGroup PAC ID 0941441919, 156 clinicians

Practice addresses (Care Compare)

1107 Crown Pointe Dr
Suite 107
Elizabethtown, KY 42701-7280
Phone (270) 506-3300

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.99 of 100Reported as group
Quality
81.97
Promoting interoperability
97
Improvement activities
40
Cost
77.29

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Commonwealth Pain Associates, PLLC Family CurrentSince Jan 7, 2019 Accepting new patients
Commonwealth Pain Associates PLLC CurrentSince Jan 7, 2019 Accepting new patients

Locations

935 Chambers Blvd
Bardstown, KY 40004
Phone (270) 506-3300

99 Wellpark Ln
Apt 4
Campbellsville, KY 42718
Phone (606) 260-8613

320 Thomas More Pkwy
Ste 202
Crestview Hills, KY 41017
Phone (513) 624-7246

101 Prosperous Pl
Ste 300
Lexington, KY 40509
Phone (859) 271-3114

223 Executive Park
Louisville, KY 40207

2609 New Hartford Rd
Ste 3
Owensboro, KY 42303
Phone (270) 417-2000

120 Executive Park
St Matthews, KY 40207
Phone (502) 409-9925

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.

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": "1546473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789084800000",
    "number": "1063985984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21890",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049154115",
            "telephone_number": "502-907-0356",
            "fax_number": "502-919-9780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 CROWN POINTE DR STE 107",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427017280",
            "telephone_number": "270-506-3300",
            "fax_number": "270-506-2843"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Prosperous Pl Ste 300",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405091836",
            "country_code": "US",
            "telephone_number": "859-275-5229",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "935 Chambers Blvd",
            "address_purpose": "LOCATION",
            "city": "Bardstown",
            "state": "KY",
            "postal_code": "400042575",
            "country_code": "US",
            "telephone_number": "270-506-3300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "ANGEL",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-03",
        "last_updated": "2026-09-11",
        "certification_date": "2026-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3012440",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH PROVIDER ID",
            "identifier": "14388051",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA BETTER HEALTH OF KY PROVIDER ID NUMBER",
            "identifier": "PDZ000000228298",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE PROVIDER ID NUMBER",
            "identifier": "6976343",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARESOURCE PROVIDER ID NUMBER",
            "identifier": "CS1908400320",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100579240",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300021545",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER ID NUMBER",
            "identifier": "6645104",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PROVIDER ID NUMBER",
            "identifier": "000001232675",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE OF KY PROVIDER ID NUMBER",
            "identifier": "1796137",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "angel.miller.1@16521.direct.athenahealth.com",
            "affiliation": "Y",
            "affiliationName": "Commonwealth Pain Associates, PLLC",
            "address_1": "1107 Crown Pointe Dr Ste 107",
            "city": "Elizabethtown",
            "state": "KY",
            "country_code": "US",
            "postal_code": "427017280",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Elizabethtown, KY

Sources for this page

Verify at the official NPI Registry.