Individual provider Active NPI

Teresa Marie Miller, CNP

  • Family Nurse Practitioner
  • Columbus, OH
National Provider Identifier
1154608198
Registry record updated Sep 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
COA.12878-NP Issued in OH
Practice address
2350 Briggs Rd
Columbus, OH 43223-3218
Phone
(614) 274-8885
Fax
(614) 274-8895
NPI assigned
Nov 4, 2011
Last updated
Sep 15, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R211062 MD
Family Nurse Practitioner 363LF0000X COA.12878-NP OH Primary

Addresses

Primary practice location

2350 Briggs Rd
Columbus, OH 43223-3218

Mailing address

2350 Briggs Rd
Columbus, OH 43223-3218
Phone (614) 274-8885

Other identifiers 1

IdentifierTypeStateIssuer
00640442MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20120131000526 OH Practitioner - Nurse Practitioner 9335306570 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Health Physicians Lima, LLCGroup PAC ID 3375607351, 54 clinicians

Practice addresses (Care Compare)

1800 E 5TH St
Suite 1
Delphos, OH 45833-9180
Phone (419) 692-2662

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R211062MDMDFamily Nurse Practitioner
COA.12878-NPOHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lima Memorial Professional Corporation CurrentSince Jan 21, 2022 Accepting new patients
Mercy Health Physicians Lima, LLC CurrentSince Mar 26, 2023 Accepting new patients
Lima Memorial Professional Corporation CurrentSince Jan 21, 2022 Accepting new patients
Lima Memorial Joint Operating Company PastSince Nov 16, 2022 Accepting new patients

Locations

L3982
Columbus, OH 43260

1800 E 5th St
Ste 1
Delphos, OH 45833
Phone (419) 692-2662

1001 Bellefontaine Ave
Lima, OH 45804
Phone (419) 228-3335

1220 E Elm St
Ste 205
Lima, OH 45804
Phone (419) 224-1500

770 W High St
Ste 450
Lima, OH 45801
Phone (419) 996-5069

Interoperability endpoints

  • Direct secure messaging: tmiller58356@direct.bsmhealth.org

Organizations & group practices 4

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.

Hospital & facility affiliations 2

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": "1320364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473897600000",
    "number": "1154608198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2350 BRIGGS RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432233218",
            "telephone_number": "614-274-8885",
            "fax_number": "614-274-8895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2350 BRIGGS RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432233218",
            "telephone_number": "614-274-8885",
            "fax_number": "614-274-8895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "TERESA",
        "middle_name": "MARIE",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-04",
        "last_updated": "2016-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R211062",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "COA.12878-NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00640442",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.