NPIMap

Individual provider Active NPI

Amy Leeann Miller, APRN

  • Primary Care Nurse Practitioner
  • Wewahitchka, FL
National Provider Identifier
1124615307
Registry record updated Dec 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
APRN11010746 Issued in FL
Practice address
265 Gary Rowell Rd
Wewahitchka, FL 32465-4028
Phone
(850) 227-8561
Fax
(850) 639-3337
NPI assigned
Dec 22, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X APRN11010746 FL
Gerontology Nurse Practitioner 363LG0600X APRN11010746 FL
Primary Care Nurse Practitioner 363LP2300X APRN11010746 FL Primary

Addresses

Primary practice location

265 Gary Rowell Rd
Wewahitchka, FL 32465-4028

Mailing address

PO Box 836
Wewahitchka, FL 32465-0836
Phone (850) 227-8561

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210728000245 FL Practitioner - Nurse Practitioner 9830001841 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

412 N Hwy 71
Wewahitchka, FL 32465-4061
Phone (850) 227-8561

Hospital & facility affiliations

  • Trilogy Home Healthcare Home health agency, Wewahitchka, FL, CCN 108001
  • NHC Homecare Home health agency, Carrabelle, FL, CCN 107326
  • Ascension Sacred Heart Gulf Hospital, Port Saint Joe, FL, CCN 100313
  • HCA Florida Gulf Coast Hospital Hospital, Panama City, FL, CCN 100242
  • Calhoun-Liberty Hospital Hospital, Blountstown, FL, CCN 101304
  • Ascension Sacred Heart Bay Hospital, Panama City, FL, CCN 100026

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tupelo Primary Care Primary Care CurrentSince Jul 12, 2023 Accepting new patients
Michael E. Barnes, MD PastSince May 1, 2021 Accepting new patients

Locations

412 N Highway 71
Wewahitchka, FL 32465
Phone (850) 227-8561

Organizations & group practices 2

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.

Hospital & facility affiliations 7

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": "1608595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608595200000",
    "number": "1124615307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 836",
            "city": "WEWAHITCHKA",
            "state": "FL",
            "postal_code": "324650836",
            "telephone_number": "850-227-8561",
            "fax_number": "850-639-3337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 GARY ROWELL RD",
            "city": "WEWAHITCHKA",
            "state": "FL",
            "postal_code": "324654028",
            "telephone_number": "850-227-8561",
            "fax_number": "850-639-3337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "AMY",
        "middle_name": "LEEANN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-22",
        "last_updated": "2020-12-22",
        "certification_date": "2020-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "APRN11010746",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "APRN11010746",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "APRN11010746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wewahitchka, FL

Sources for this page

Verify at the official NPI Registry.