Individual provider Active NPI

Sara Elizabeth Miller, MSN-NP

  • Nurse Practitioner
  • Kokomo, IN
National Provider Identifier
1154972875
Registry record updated Sep 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
71009707A Issued in IN
Practice address
209 Corwin LN
Kokomo, IN 46902-6612
Phone
(765) 456-5630
NPI assigned
Sep 24, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 28151040A IN
Nurse Practitioner 363L00000X 71009707A IN Primary

Addresses

Primary practice location

209 Corwin LN
Kokomo, IN 46902-6612

Mailing address

209 Corwin LN
Kokomo, IN 46902-6612

Other practice location 1

1531 Rockford Ct
Kokomo, IN 46902-3207
Phone (765) 453-4500

Other names 1

  • Sara Elizabeth Jones Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sara.miller.1@7598.direct.athenahealth.com St. Vincent Medical Group, Inc.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20200224002982 IN Practitioner - Nurse Practitioner 3779910146 Reassigns benefits to 3 organizations

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
St Vincent Medical Group IncGroup PAC ID 7012047640, 728 clinicians
Pic Indiana PCGroup PAC ID 3476790239, 143 clinicians

Practice addresses (Care Compare)

209 Corwin LN
Kokomo, IN 46902-6612
Phone (765) 456-5630

924 W Pike St
Physicians Urgent Care
Goshen, IN 46526-2365
Phone (574) 312-7056

Hospital & facility affiliations

  • Ascension St Vincent Kokomo Hospital, Kokomo, IN, CCN 150010
  • Ascension St Vincent Fishers Hospital, Fishers, IN, CCN 150181

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71009707AINMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Oasis Counseling Center LLC CurrentSince Jan 27, 2020 Accepting new patients
Pic Indiana PC CurrentSince Nov 1, 2022 Accepting new patients
St Vincent Medical Group Inc Past Accepting new patients

Locations

123 S Franklin Rd
Bloomington, IN 47404
Phone (812) 339-2305

924 W Pike St
Goshen, IN 46526
Phone (574) 312-7056

4903 S Emerson Ave
Indianapolis, IN 46203
Phone (317) 352-5582

1531 Rockford Ct
Kokomo, IN 46902
Phone (765) 453-4500

102 Sagamore Pkwy S
Lafayette, IN 47905
Phone (765) 237-3224

Interoperability endpoints

  • Direct secure messaging: sara.miller.1@7598.direct.athenahealth.com

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 and National Provider Directory roles.

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": "1569283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695081600000",
    "number": "1154972875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 CORWIN LN",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469026612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 CORWIN LN",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469026612",
            "telephone_number": "765-456-5630"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1531 Rockford Ct",
            "address_purpose": "LOCATION",
            "city": "Kokomo",
            "state": "IN",
            "postal_code": "469023207",
            "country_code": "US",
            "telephone_number": "765-453-4500",
            "fax_number": "765-453-4525",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "SARA",
        "middle_name": "ELIZABETH",
        "credential": "MSN-NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-24",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IN",
            "license": "28151040A",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71009707A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sara.miller.1@7598.direct.athenahealth.com",
            "affiliation": "Y",
            "affiliationName": "St. Vincent Medical Group, Inc.",
            "address_1": "209 Corwin Ln",
            "city": "Kokomo",
            "state": "IN",
            "country_code": "US",
            "postal_code": "469026612",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "SARA",
            "last_name": "JONES",
            "middle_name": "ELIZABETH",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kokomo, IN

Sources for this page

Verify at the official NPI Registry.