Individual provider Active NPI

Carissa Miller, AGNP-BC

  • Primary Care Nurse Practitioner
  • Bel Air, MD
National Provider Identifier
1154076776
Registry record updated Feb 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
R183678 Issued in MD
Practice address
615 W Macphail Rd Ste 105&106
Bel Air, MD 21014-4309
Phone
(410) 638-8900
Fax
(410) 638-8916
NPI assigned
Feb 14, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X R183678 MD Primary

Addresses

Primary practice location

615 W Macphail Rd Ste 105&106
Bel Air, MD 21014-4309

Mailing address

615 W Macphail Rd Ste 105&106
Bel Air, MD 21014-4309
Phone (410) 638-8900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20220421002750 MD Practitioner - Nurse Practitioner 5799172730 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Agape Physical Therapy and Sports Rehabilitation LPGroup PAC ID 3870741390, 684 clinicians
Harford Primary Care LLCGroup PAC ID 3971499971, 27 clinicians

Practice addresses (Care Compare)

12 Newport Dr
Suite a
Forest Hill, MD 21050-1758

615 W Macphail Rd
Suite 106
Bel Air, MD 21014-4393
Phone (410) 638-8900

Hospital & facility affiliations

  • Bayada Home Health Care, Inc. Home health agency, Towson, MD, CCN 217101
  • Amedisys Home Health Care Home health agency, Forest Hill, MD, CCN 217045
  • Umd Upper Chesapeake Medical Center Hospital, Bel Air, MD, CCN 210049

Merit-based Incentive Payment System (MIPS)

Final score
85.84 of 100Reported as group
Quality
76.7
Promoting interoperability
100
Improvement activities
40
Cost
76.11

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R183678MDMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Harford Primary Care LLC CurrentSince Apr 18, 2022 Accepting new patients
Harford Primary Care LLC PastSince Jul 28, 2025 Accepting new patients

Locations

615 W Macphail Rd
Ste 106
Bel Air, MD 21014
Phone (410) 638-8900

542 W Macphail Rd
Bel Air, MD 21014
Phone (410) 638-8900

2 North Ave
Ste 101
Bel Air, MD 21014
Phone (410) 296-1661

615 W Macphail Rd
Ste 105106
Bel Air, MD 21014
Phone (410) 638-8900

Interoperability endpoints

  • Direct secure messaging: cmiller704068@direct.umm.edu

Organizations & group practices 3

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 6

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": "1644796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644796800000",
    "number": "1154076776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 W MACPHAIL RD STE 105&106",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210144309",
            "telephone_number": "410-638-8900",
            "fax_number": "410-638-8916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 W MACPHAIL RD STE 105&106",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210144309",
            "telephone_number": "410-638-8900",
            "fax_number": "410-638-8916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "CARISSA",
        "name_prefix": "Ms.",
        "credential": "AGNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-14",
        "last_updated": "2022-02-14",
        "certification_date": "2022-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MD",
            "license": "R183678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bel Air, MD

Sources for this page

Verify at the official NPI Registry.