Individual provider Active NPI

Rachael Lea Miller, RN, NP, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Fresno, CA
National Provider Identifier
1124687462
Registry record updated Aug 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95023582 Issued in CA
Practice address
1551 E Shaw Ave Ste 139
Fresno, CA 93710-8025
Phone
(559) 320-0490
NPI assigned
Jun 11, 2019
Last updated
Aug 23, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95023582 CA Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 2019017374 MO
Registered Nurse 163W00000X 95180773 CA
Registered Nurse 163W00000X 14-127624-062 KS
Registered Nurse 163W00000X 2013036996 MO

Addresses

Primary practice location

1551 E Shaw Ave Ste 139
Fresno, CA 93710-8025

Mailing address

1707 Eye St # 100
Bakersfield, CA 93301-5208
Phone (613) 103-6886

Other practice location 1

17571 N Dam Access Rd
Warsaw, MO 65355-6396
Phone (888) 403-1071

Other practice location 2

501 S Sunset Ln
Raymore, MO 64083-9235
Phone (888) 403-1071

Other names 1

  • Rachael Lea Spears Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190813001006 MO Practitioner - Nurse Practitioner 8628305729 Reassigns benefits to 1 organization
I20250428003604 CA Practitioner - Nurse Practitioner 8628305729 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bay Area Community HealthGroup PAC ID 1658349824, 106 clinicians

Practice addresses (Care Compare)

5504 Monterey Hwy
San Jose, CA 95138-1529
Phone (408) 729-9700

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14-127624-062KSMDRegistered Nurse
2013036996MOMDRegistered Nurse
95023582CAMDPsychiatric/Mental Health Nurse Practitioner
2019017374MOMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bay Area Community Health CurrentSince Feb 1, 2025 Accepting new patients
Compass Health, Inc CurrentSince Jun 23, 2019 Accepting new patients
Compass Health, Inc CurrentSince Jun 23, 2019 Accepting new patients
Bay Area Community Health CurrentSince Feb 1, 2025 Accepting new patients
Fresno American Indian Health Project PastSince Dec 22, 2020 Accepting new patients
Psychiatric Medical Practitioners, Inc. PastSince Aug 25, 2024 Accepting new patients

Locations

1860 Mowry Ave
Fremont, CA 94538
Phone (510) 284-4140

1860 Mowry Ave
Ste 400
Fremont, CA 94538
Phone (510) 284-4100

40910 Fremont Blvd
Fremont, CA 94538
Phone (510) 770-8133

1800 Community
Clinton, MO 64735
Phone (660) 885-8131

1800 Community
#B
Clinton, MO 64735

1010 Remington Plz
Raymore, MO 64083
Phone (816) 318-4430

17571 N Dam Access Rd
Warsaw, MO 65355
Phone (660) 428-1280

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: rachael.miller.p1@direct.faihp.nextgenshare.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1560211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724371200000",
    "number": "1124687462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1707 EYE ST # 100",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933015208",
            "telephone_number": "613-103-6886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1551 E SHAW AVE STE 139",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937108025",
            "telephone_number": "559-320-0490"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17571 N Dam Access Rd",
            "address_purpose": "LOCATION",
            "city": "Warsaw",
            "state": "MO",
            "postal_code": "653556396",
            "country_code": "US",
            "telephone_number": "888-403-1071",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "501 S Sunset Ln",
            "address_purpose": "LOCATION",
            "city": "Raymore",
            "state": "MO",
            "postal_code": "640839235",
            "country_code": "US",
            "telephone_number": "888-403-1071",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "RACHAEL",
        "middle_name": "LEA",
        "credential": "RN, NP, APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-11",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95023582",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MO",
            "license": "2019017374",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95180773",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "KS",
            "license": "14-127624-062",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MO",
            "license": "2013036996",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHAEL",
            "last_name": "SPEARS",
            "middle_name": "LEA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.