Individual provider Active NPI

Tyler D Miller, APRN

  • Family Nurse Practitioner
  • Glasgow, KY
National Provider Identifier
1124591318
Registry record updated Oct 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3012741 Issued in KY
Practice address
106 Columns Plaza Dr
Glasgow, KY 42141-8068
Phone
(270) 651-9390
Fax
(270) 651-8698
NPI assigned
Jan 10, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 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 3012741 KY Primary

Addresses

Primary practice location

106 Columns Plaza Dr
Glasgow, KY 42141-8068

Mailing address

PO Box 645996
Cincinnati, OH 45264-5996
Phone (270) 651-4444

Other practice location 1

1301 N Race St
Glasgow, KY 42141-3483
Phone (270) 651-4444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20190212001166 KY Practitioner - Nurse Practitioner 6709124084 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
T J Samson Community HospitalGroup PAC ID 0648182600, 197 clinicians
T J Health Columbia IncGroup PAC ID 7113224783, 43 clinicians
PT Pros, IncGroup PAC ID 0143139337, 263 clinicians
Adair County Hospital DistrictGroup PAC ID 3577474667, 20 clinicians

Practice addresses (Care Compare)

106 Columns Plaza Dr
Glasgow, KY 42141-8068
Phone (270) 651-9390

603 Columbia Hwy
Greensburg, KY 42743-1115
Phone (270) 973-5439

792 Campbellsville Rd
Greensburg, KY 42743-1460
Phone (270) 973-5400

810 Jamestown St
Columbia, KY 42728-1010

902 Wellness Way
Columbia, KY 42728-1149
Phone (270) 384-0451

Hospital & facility affiliations

  • Family Home Health Care, LLC Dba Adoration Home Health Home health agency, Columbia, KY, CCN 187119
  • T J Samson Community Hospital Hospital, Glasgow, KY, CCN 180017
  • TJ Health Columbia Hospital, Columbia, KY, CCN 180149
  • Cumberland County Hospital Hospital, Burkesville, KY, CCN 181317

Merit-based Incentive Payment System (MIPS)

Final score
86.3 of 100Reported as group
Quality
74.59
Promoting interoperability
100
Improvement activities
40
Cost
68.87

Merit-based Incentive Payment System (MIPS)

Final score
92.9 of 100Reported as group
Quality
85.93
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
3012741KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
T J Health Columbia Inc CurrentSince Jul 1, 2023 Accepting new patients
T J Health Columbia Inc CurrentSince Jan 28, 2019 Accepting new patients
T J Health Columbia Inc CurrentSince Jul 1, 2023 Accepting new patients
T J Health Columbia Inc Current Accepting new patients
T J Health Columbia Inc CurrentSince Jan 28, 2019 Accepting new patients
T J Health Columbia Inc Family Current Accepting new patients
T J Health Columbia Inc CurrentSince Jan 28, 2019 Accepting new patients
T J Health Columbia Inc Current Accepting new patients
T J Samson Community Hospital Family Current Accepting new patients
T J Samson Community Hospital Past Accepting new patients

Locations

810 Jamestown St
Columbia, KY 42728
Phone (270) 384-4764

902 Wellness Way
Columbia, KY 42728
Phone (270) 384-0451

901 Wellness Way
Columbia, KY 42728
Phone (270) 384-4753

106 Columns Plaza Dr
Glasgow, KY 42141
Phone (270) 651-9390

1301 N Race St
Glasgow, KY 42141
Phone (270) 651-4141

310 N L Rogers Wells Blvd
Glasgow, KY 42141
Phone (270) 651-1111

603 Columbia Hwy
Greensburg, KY 42743
Phone (270) 932-4518

542 Steve Dr
Russell Springs, KY 42642
Phone (270) 858-3636

Organizations & group practices 34

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.

View all 34

Hospital & facility affiliations 5

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": "1547078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696291200000",
    "number": "1124591318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 645996",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452645996",
            "telephone_number": "270-651-4444",
            "fax_number": "270-651-4892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 COLUMNS PLAZA DR",
            "city": "GLASGOW",
            "state": "KY",
            "postal_code": "421418068",
            "telephone_number": "270-651-9390",
            "fax_number": "270-651-8698"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1301 N Race St",
            "address_purpose": "LOCATION",
            "city": "Glasgow",
            "state": "KY",
            "postal_code": "421413483",
            "country_code": "US",
            "telephone_number": "270-651-4444",
            "fax_number": "270-651-4892",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "TYLER",
        "middle_name": "D",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-01-10",
        "last_updated": "2023-10-03",
        "certification_date": "2023-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3012741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glasgow, KY

Sources for this page

Verify at the official NPI Registry.