Michelle K Miller, F.N.P.-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

71003631A Issued in IN

Practice address

777 S Main St Ste 100
Clinton, IN 47842-2493

Phone

(765) 828-1003

NPI assigned

Jul 15, 2011

Last updated

Sep 30, 2021By 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 3

Addresses

Other names 1

• Michelle K Crain Former name

Medicare fee-for-service enrollment

Enrolled in IN

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, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Valley Professionals Community Health Center IncGroup PAC ID 7618067265, shared by 10 NPIs, 71 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/VALLEY

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.

• Valley Professionals Community Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Clinton, IN
  • NPI 1104006253
  Medicare reassignment NPD
• Valley Professionals Community Health Center Inc

  dba VPCHC-Clinton Dental

  • Federally Qualified Health Center (FQHC)
  • Clinton, IN
  • NPI 1972312973
  NPD
• Hospital & Medical Foundation of Paris, Inc.

  dba Horizon Health Physical Therapy

  • Physical Therapist
  • Terre Haute, IN
  • NPI 1962378208
  NPD (past)
• Midwest Medical Management, P.C.

  • Emergency Medicine Physician
  • Terre Haute, IN
  • NPI 1417996430
  NPD (past)
• Valley Professionals Community Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Crawfordsville, IN
  • NPI 1083009997
  NPD (past)
• Valley Professionals Community Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Terre Haute, IN
  • NPI 1962085449
  NPD (past)

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

{
    "created_epoch": "1310688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632960000000",
    "number": "1073801734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 N SHADELAND AVE",
            "address_2": "SUITE 130 - PROVIDER ENROLLMENT",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462194959",
            "telephone_number": "800-732-1066",
            "fax_number": "317-962-4343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 S MAIN ST STE 100",
            "city": "CLINTON",
            "state": "IN",
            "postal_code": "478422493",
            "telephone_number": "765-828-1003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "MICHELLE",
        "middle_name": "K",
        "credential": "F.N.P.-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-15",
        "last_updated": "2021-09-30",
        "certification_date": "2021-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "28179417A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209018042",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71003631A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "CRAIN",
            "middle_name": "K",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Stephanie R McFaddin
• David McIntyre, LCAC
• Lucas James Meyer, PHARM. D.
• Michelle D Meyer
• Beverly Ann Miller, PRACTICAL NURSE
• Robert Glen Miller
• Natalie Moreno-Crow, LCSW
• Tammy Lea Mundy, FNP
• Lacie Jo Nickle, CNA
• Kasi Oxendine, LCSW

• Nurse Practitioner in Clinton, IN
• Providers in Clinton, IN by specialty
• Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2021; 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.