Roberto Miller, PA-C
Individual provider Active NPI Medical Physician Assistant · Grant, MI
NPI 1124159488 · NPPES record last updated Aug 11, 2026
Key facts
- NPI
- 1124159488
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- License
- 5601004786 (MI)
- Practice address
- 11 N Maple St
Grant, MI 49327-7900 - Phone
- (231) 834-0444
- NPI assigned
- Mar 8, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 20
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Baldwin Family Health Care
Practice addresses (Care Compare)
1035 E Wilcox Ave
White Cloud, MI 49349-8794
Phone (231) 689-5943
11 N Maple St
Grant, MI 49327-7900
Phone (231) 834-0444
1615 Michigan Ave
Baldwin, MI 49304-7984
Phone (231) 876-6527
Hospital & facility affiliations
- Corewell Health Gerber Hospital
- Spectrum Health
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- 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 |
|---|---|---|---|---|
| I20090721000323 | MI | Practitioner - Physician Assistant | 7214089382 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baldwin Family Health Care | Current |
Accepting new patients | |
| Baldwin Family Health Care | Current |
Accepting new patients |
Locations
1615 Michigan Ave
Baldwin, MI 49304
Phone (231) 745-2781
520 Cobb St
Cadillac, MI 49601
Phone (231) 775-6521
Interoperability endpoints
- roberto.miller.p1@direct.nextgenshare.com
- roberto.miller.p1@direct.bfhc.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 5601004786 | MI | Yes |
Addresses
Primary practice location
11 N Maple St
Grant, MI 49327-7900
Mailing address
520 Cobb St
Cadillac, MI 49601-2588
Phone (231) 834-0444
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | roberto.miller.p1@direct.bfhc.nextgenshare.com |
Other providers in Grant, MI
- Memorial Medical Center of West Michigan
- Jacqueline Lopez Mendoza
- Nancy J Meyering-Zerns
- Gerard Paul Miklosi
- Karen Miller
- Newaygo County General Hospital Association
- Newaygo County General Hospital Association
- Heidi Parent-Leonard
- Nicole Marie Pastoor
- Kimberly Perez
All providers in Grant, MI · Medical Physician Assistant in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 11, 2026. 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.