Individual provider Active NPI

Casey Lynn Miller, FNP-C

  • Family Nurse Practitioner
  • Brockport, NY
National Provider Identifier
1083411524
Registry record updated Apr 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F355661 Issued in NY
Practice address
6555 Fourth Section Rd
Brockport, NY 14420-2441
Phone
(585) 431-5364
NPI assigned
Mar 3, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 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 F355661 NY Primary

Addresses

Primary practice location

6555 Fourth Section Rd
Brockport, NY 14420-2441

Mailing address

6555 Fourth Section Rd
Brockport, NY 14420-2441
Phone (585) 431-5364

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20260327001255 NY Practitioner - Nurse Practitioner 0547745523 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellnow Urgent Care, P.C.Group PAC ID 8325320864, 395 clinicians

Practice addresses (Care Compare)

6555 4TH Section Rd
Brockport, NY 14420-2441
Phone (585) 431-5364

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F355661NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wellnow Urgent Care, PC CurrentSince Apr 27, 2026 Accepting new patients
Northern Star Medical Billing & Collections CurrentSince Mar 11, 2025 Accepting new patients
Wellnow Urgent Care, PC PastSince Apr 27, 2026 Accepting new patients

Locations

6555 4th Section Rd
Brockport, NY 14420
Phone (585) 431-5364

60 Finn Rd
Ste A
Henrietta, NY 14467
Phone (585) 359-3200

446 Fairview Ave
Ste 200
Hudson, NY 12534
Phone (518) 267-3496

Organizations & group practices 3

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": "1740960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777334400000",
    "number": "1083411524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6555 FOURTH SECTION RD",
            "city": "BROCKPORT",
            "state": "NY",
            "postal_code": "144202441",
            "telephone_number": "585-431-5364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6555 FOURTH SECTION RD",
            "city": "BROCKPORT",
            "state": "NY",
            "postal_code": "144202441",
            "telephone_number": "585-431-5364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "CASEY",
        "middle_name": "LYNN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-03",
        "last_updated": "2026-04-28",
        "certification_date": "2026-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F355661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brockport, NY

Sources for this page

Verify at the official NPI Registry.