Active NPI
Krista A Miller, NP
- Family Nurse Practitioner
- Englewood, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 022276
- Practice address
- 1250 W National Rd Ste 400
Englewood, OH 45315-9506 - Phone
- (937) 836-6000
- Fax
- (937) 832-4805
- NPI assigned
- Feb 15, 2018
- Last updated
- Mar 29, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 022276 | OH | Primary |
Addresses
Primary practice location
1250 W National Rd Ste 400
Englewood, OH 45315-9506
Mailing address
15860 Chickenbristle Rd
Farmersville, OH 45325-9302
Phone (937) 895-4092
Other practice location 1
2320 Beechwood Dr
Germantown, OH 45327-9462
Phone (937) 895-4092
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kmiller646819@direct.ketteringhealth.org | ||
| FHIR URL | https:/khnarr.ketthealth.com/FHIR-PROD/api/FHIR/R4/ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1250 W National Rd
Suite 400
Englewood, OH 45315-9506
Phone (937) 836-6000
1625 S Alex Rd
West Carrollton, OH 45449-5404
Phone (937) 865-0534
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 022276 | OH | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alliance Physicians Inc | Current | Accepting new patients | |
| Providence Medical Group, Inc. | Current | Accepting new patients | |
| Providence Medical Group | Current | Accepting new patients |
Locations
7740 Washington Village Dr
Ste 130
Dayton, OH 45459
Phone (513) 932-4891
1250 W National Rd
Ste 400
Englewood, OH 45315
Phone (937) 836-2424
49 E Center St
Farmersville, OH 45325
Phone (513) 696-2858
1870 Germantown Pike
Germantown, OH 45327
Phone (937) 855-6006
2320 Beechwood Dr
Germantown, OH 45327
Phone (937) 895-4092
1 Prestige Pl
Ste 550
Miamisburg, OH 45342
Phone (937) 752-2306
2912 Springboro W
Ste 201
Moraine, OH 45439
Phone (937) 297-8996
1625 S Alex Rd
West Carrollton, OH 45449
Phone (937) 865-0534
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Kettering Health Medical Group
- Family Medicine Physician
- Kettering, OH
- NPI 1437125572
-
- Family Medicine Physician
- Dayton, OH
- NPI 1972533149
-
dba PMG Vascular Imaging
- Diagnostic Radiology Physician
- Moraine, OH
- NPI 1659726768
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Kettering Health Dayton
- General Acute Care Hospital
- Dayton, OH
- NPI 1053339507
-
dba Kettering Health Main Campus
- General Acute Care Hospital
- Kettering, OH
- NPI 1043233984
-
- General Acute Care Hospital
- Dayton, OH
- NPI 1073688354
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1518652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680048000000",
"number": "1093215089",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15860 CHICKENBRISTLE RD",
"city": "FARMERSVILLE",
"state": "OH",
"postal_code": "453259302",
"telephone_number": "937-895-4092"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1250 W NATIONAL RD STE 400",
"city": "ENGLEWOOD",
"state": "OH",
"postal_code": "453159506",
"telephone_number": "937-836-6000",
"fax_number": "937-832-4805"
}
],
"practiceLocations": [
{
"address_1": "2320 Beechwood Dr",
"address_purpose": "LOCATION",
"city": "Germantown",
"state": "OH",
"postal_code": "453279462",
"country_code": "US",
"telephone_number": "937-895-4092",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MILLER",
"first_name": "KRISTA",
"middle_name": "A",
"name_prefix": "Ms.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-02-15",
"last_updated": "2023-03-29",
"certification_date": "2023-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "022276",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kmiller646819@direct.ketteringhealth.org",
"affiliation": "N",
"address_1": "1250 W National Rd Ste 400",
"city": "Englewood",
"state": "OH",
"country_code": "US",
"postal_code": "453159506",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https:/khnarr.ketthealth.com/FHIR-PROD/api/FHIR/R4/",
"affiliation": "N",
"address_1": "1250 W National Rd Ste 400",
"city": "Englewood",
"state": "OH",
"country_code": "US",
"postal_code": "453159506",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Englewood, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2023; 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.