Danielle Renee Miller, AGACNP
Individual provider Active NPI Acute Care Nurse Practitioner · Deland, FL
NPI 1114749066 · NPPES record last updated Oct 30, 2024
Key facts
- NPI
- 1114749066
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Acute Care Nurse Practitioner 363LA2100X
- License
- APRN11036254 (FL)
- Practice address
- 31234 Lakeside Dr
Deland, FL 32720-7812 - Phone
- (717) 247-9054
- NPI assigned
- Oct 30, 2024
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Excellence Health LLC
Legacy Healthcare Services Inc
Practice addresses (Care Compare)
1630 Mason Ave
Suite C
Daytona Beach, FL 32117-4503
Phone (386) 238-9064
7015 Red Bug Lake Rd
Oviedo, FL 32765-5056
Phone (407) 542-4908
Hospital & facility affiliations
- Trilogy Home Healthcare
- Centerwell Home Health
- Accentcare Home Health of Daytona
- Enhabit Home Health
- Apex Home Healthcare
- Halifax Health Hospice
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250228000442 | FL | Practitioner - Nurse Practitioner | 1951821396 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN11036254 | FL | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Excellence Health Care at Home, LLC | Current |
Accepting new patients | |
| Excellence Health, LLC | Current |
Accepting new patients |
Locations
1630 Mason Ave
Ste C
Daytona Beach, FL 32117
Phone (386) 238-9064
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | APRN11036254 | FL | Yes |
Addresses
Primary practice location
31234 Lakeside Dr
Deland, FL 32720-7812
Mailing address
31234 Lakeside Dr
Deland, FL 32720-7812
Phone (717) 247-9054
Other providers in Deland, FL
- Mid-Florida Hematology & Oncology Centers, PA
- Timothy D Miesmer
- Mila Alf, LLC
- Amy Milburn
- Courtney Le Ann Steblein Miller
- Jackie Robinson Miller
- Jill Elizabeth Miller
- Kanisha L. Miller
- Kristi Michelle Gittner Miller
- Michelle Diane Miller
All providers in Deland, FL · Acute Care Nurse Practitioner in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 30, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.