Individual provider Active NPI

Laura Elaine Millns, PA-C

  • Dermatology Physician
  • Tampa, FL
National Provider Identifier
1124334479
Registry record updated Apr 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
PA9105562 Issued in FL
Practice address
6001 Memorial Hwy
Tampa, FL 33615-4531
Phone
(813) 884-1626
Fax
(813) 886-0589
NPI assigned
Aug 25, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X PA9105562 FL Primary

Addresses

Primary practice location

6001 Memorial Hwy
Tampa, FL 33615-4531

Mailing address

6001 Memorial Hwy
Tampa, FL 33615-4531
Phone (813) 884-1626

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20101018000806 FL Practitioner - Physician Assistant 3375736747 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermatology Associates of Tampa Bay, LLCGroup PAC ID 7113928722, 2 clinicians

Practice addresses (Care Compare)

6001 Memorial Hwy
Tampa, FL 33615-4531
Phone (813) 884-1626

Merit-based Incentive Payment System (MIPS)

Final score
94.49 of 100Reported as group
Quality
88.98
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Organizations & group practices 1

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": "1282694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459728000000",
    "number": "1124334479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6001 MEMORIAL HWY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336154531",
            "telephone_number": "813-884-1626",
            "fax_number": "813-886-0589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6001 MEMORIAL HWY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336154531",
            "telephone_number": "813-884-1626",
            "fax_number": "813-886-0589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLNS",
        "first_name": "LAURA",
        "middle_name": "ELAINE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-25",
        "last_updated": "2016-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "PA9105562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.