Individual provider Active NPI

Brittany Lynn Miller, FNP-BC

  • Nurse Practitioner
  • Beaver, WV
National Provider Identifier
1114571668
Registry record updated Sep 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
104106 Issued in WV
Practice address
354 Commerce Dr
Beaver, WV 25813-8985
Phone
(304) 250-0150
Fax
(304) 250-0153
NPI assigned
Aug 1, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 104106 WV Primary

Addresses

Primary practice location

354 Commerce Dr
Beaver, WV 25813-8985

Mailing address

354 Commerce Dr
Beaver, WV 25813-8985
Phone (304) 250-0150

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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
I20191030001904 WV Practitioner - Nurse Practitioner 0042542763 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
104106WVMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Beckley Vascular Associates PLLC CurrentSince Aug 1, 2019 Accepting new patients
Matrix Medical Network of West Nurse Practitioner CurrentSince May 1, 2022 Accepting new patients
Princeton Community Hospital Assn Inc. Past Accepting new patients
Rainbow Pediatrics, Inc Past Accepting new patients

Locations

9201 E Mountain View Rd
Ste 220
Scottsdale, AZ 85258
Phone (480) 862-1883

121 George St
Beckley, WV 25801
Phone (304) 250-0382

209 Washington St W
Charleston, WV 25302
Phone 24852821166

8849 Seneca Trl S
Ronceverte, WV 24970
Phone (304) 520-4966

Organizations & group practices 4

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": "1564617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664323200000",
    "number": "1114571668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "354 COMMERCE DR",
            "city": "BEAVER",
            "state": "WV",
            "postal_code": "258138985",
            "telephone_number": "304-250-0150",
            "fax_number": "304-250-0153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "354 COMMERCE DR",
            "city": "BEAVER",
            "state": "WV",
            "postal_code": "258138985",
            "telephone_number": "304-250-0150",
            "fax_number": "304-250-0153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "BRITTANY",
        "middle_name": "LYNN",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-01",
        "last_updated": "2022-09-28",
        "certification_date": "2022-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WV",
            "license": "104106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaver, WV

Sources for this page

Verify at the official NPI Registry.