Individual provider Active NPI

Lucille Anne Miller, RN, MSN, APN-C

  • Family Nurse Practitioner
  • Sicklerville, NJ
National Provider Identifier
1104330026
Registry record updated Jun 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26N00777500 Issued in NJ
Practice address
1100 Liberty PL Unit 2
Sicklerville, NJ 08081-5708
Phone
(856) 318-7537
Fax
(856) 516-4494
NPI assigned
Nov 30, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2023

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 26N00777500 NJ Primary

Addresses

Primary practice location

1100 Liberty PL Unit 2
Sicklerville, NJ 08081-5708

Mailing address

1100 Liberty PL Unit 2
Sicklerville, NJ 08081-5708
Phone (856) 318-7537

Other practice location 1

369 S. WHP
Waterford Works, NJ 08089
Phone (609) 561-5900

Other practice location 2

369 S. WHP
Waterford Works, NJ 08089
Phone (609) 561-5900

Other identifiers 1

IdentifierTypeStateIssuer
1104330026OtherNPI

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL SIcklerville Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20180123000205 NJ Practitioner - Nurse Practitioner 1557620424 Reassigns benefits to 3 organizations

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
Medcorps Asthma and Pulmonary Specialists LLCGroup PAC ID 3375863764, 20 clinicians

Practice addresses (Care Compare)

222 New Rd
201 Medcorps Allergy and Pulmonary Speciali
Linwood, NJ 08221-1281
Phone (609) 788-8593

Hospital & facility affiliations

  • Shore Medical Center Hospital, Somers Point, NJ, CCN 310047
  • Atlanticare Regional Medical Center - City Campus Hospital, Atlantic City, NJ, CCN 310064

Merit-based Incentive Payment System (MIPS)

Final score
94.07 of 100Reported as group
Quality
81.62
Promoting interoperability
89
Improvement activities
40
Cost
74.45

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
26N00777500NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ruffin Associates Healthy Housecalls LLC Current Accepting new patients
Virtua Medical Group, PA Current Accepting new patients
Virtua Medical Group, PA CurrentSince Feb 1, 2019 Accepting new patients
Gregg a Pearson DO PC CurrentSince Nov 27, 2017 Accepting new patients
Infocus Urgent Care of West Windsor, LLC CurrentSince Mar 28, 2021 Accepting new patients
Medcorps Asthma and Pulmonary Specialists LLC CurrentSince Jan 1, 2022 Accepting new patients
Virtua Medical Group, PA CurrentSince Feb 1, 2019 Accepting new patients

Locations

3242 Route 206
Ste 2
Bordentown, NJ 08505
Phone (609) 298-4340

211 S Main St
Ste 203
Cape May Court House, NJ 08210
Phone (609) 465-1984

2030 New Rd
Linwood, NJ 08221
Phone (609) 383-6100

222 New Rd
Ste 201
Linwood, NJ 08221
Phone (609) 788-8593

301 Lippincott Dr
Ste 410
Marlton, NJ 08053

100 Kings Way E
Ste D1
Sewell, NJ 08080
Phone (856) 264-2955

158 Route 73
#B
Voorhees, NJ 08043
Phone (856) 247-7230

64 Princeton Hightstown Rd
Ste 2
West Windsor, NJ 08550
Phone (609) 799-7009

Interoperability endpoints

  • Direct secure messaging: lucille.miller.1@20926.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/11515/brand/1/csg/1/fhir/r4
  • Direct secure messaging: lucille.miller.1@11515.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/20926/brand/1/csg/1/fhir/r4

Organizations & group practices 7

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 2

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": "1512000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685923200000",
    "number": "1104330026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 LIBERTY PL UNIT 2",
            "city": "SICKLERVILLE",
            "state": "NJ",
            "postal_code": "080815708",
            "telephone_number": "856-318-7537",
            "fax_number": "856-762-0774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 LIBERTY PL UNIT 2",
            "city": "SICKLERVILLE",
            "state": "NJ",
            "postal_code": "080815708",
            "telephone_number": "856-318-7537",
            "fax_number": "856-516-4494"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "369 S. WHP",
            "address_purpose": "LOCATION",
            "city": "Waterford Works",
            "state": "NJ",
            "postal_code": "08089",
            "country_code": "US",
            "telephone_number": "609-561-5900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "369 S. WHP",
            "address_purpose": "LOCATION",
            "city": "Waterford Works",
            "state": "NJ",
            "postal_code": "08089",
            "country_code": "US",
            "telephone_number": "609-561-5900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "LUCILLE",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "RN, MSN, APN-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-30",
        "last_updated": "2023-06-05",
        "certification_date": "2023-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26N00777500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1104330026",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "SIcklerville",
            "affiliation": "N",
            "endpointDescription": "fax machine",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "856-516-4494",
            "address_1": "1100 Liberty Pl Unit 2",
            "city": "Sicklerville",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080815708",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sicklerville, NJ

Sources for this page

Verify at the official NPI Registry.