Active NPI
Tracy L Miles, BSN,RN,CMSRN
- Medical-Surgical Registered Nurse
- Newburgh, IN
National Provider Identifier
1093636094
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical-Surgical Registered Nurse
- License
- 28259711A
- Practice address
- 4011 Gateway Blvd
Newburgh, IN 47630-8947 - Phone
- (812) 842-3962
- NPI assigned
- Jul 24, 2026
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 28259711A | IN | |
| Nephrology Registered Nurse | 163WN0300X | 28259711A | IN | |
| Medical-Surgical Registered Nurse | 163WM0705X | 28259711A | IN | Primary |
Addresses
Primary practice location
4011 Gateway Blvd
Newburgh, IN 47630-8947
Mailing address
1944 Long Lake Dr
Boonville, IN 47601-8084
Phone (812) 842-3962
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1784851200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784851200000",
"number": "1093636094",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1944 LONG LAKE DR",
"city": "BOONVILLE",
"state": "IN",
"postal_code": "476018084",
"telephone_number": "812-842-3962"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4011 GATEWAY BLVD",
"city": "NEWBURGH",
"state": "IN",
"postal_code": "476308947",
"telephone_number": "812-842-3962"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILES",
"first_name": "TRACY",
"middle_name": "L",
"credential": "BSN,RN,CMSRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-07-24",
"last_updated": "2026-07-24",
"certification_date": "2026-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "IN",
"license": "28259711A",
"primary": false
},
{
"code": "163WN0300X",
"taxonomy_group": "",
"desc": "Registered Nurse, Nephrology",
"state": "IN",
"license": "28259711A",
"primary": false
},
{
"code": "163WM0705X",
"taxonomy_group": "",
"desc": "Registered Nurse, Medical-Surgical",
"state": "IN",
"license": "28259711A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newburgh, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.