Sarah Shepherd Miller, RN, DNP, FNP-C
Individual provider Active NPI Nurse Practitioner · North Wilkesboro, NC
NPI 1164091732 · NPPES record last updated Jul 30, 2024
Key facts
- NPI
- 1164091732
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 5014621 (NC)
- Practice address
- 1919 W Park Dr
North Wilkesboro, NC 28659-3564 - Phone
- (336) 651-2980
- Fax
- (336) 667-2047
- NPI assigned
- Jun 18, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 17
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Novant Health Medical Group, LLC
Practice addresses (Care Compare)
1919 W Park Dr
North Wilkesboro, NC 28659-3564
Phone (336) 651-2980
Hospital & facility affiliations
- Wake Forest Baptist Health Care at Home, LLC
- Wilkes Regional Medical Center
- Novant Health Forsyth Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210806000446 | NC | Practitioner - Nurse Practitioner | 0547664906 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5014621 | NC | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Novant Health Medical Group, LLC | Current |
Accepting new patients | |
| Novant Health Medical Group, LLC | Current |
Accepting new patients | |
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Past | Accepting new patients |
Locations
10810 Mallard Creek Rd
Charlotte, NC 28262
Phone (704) 510-8000
1919 W Park Dr
North Wilkesboro, NC 28659
Phone (336) 651-2980
5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441
2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300
Interoperability endpoints
- smiller767313@direct.novanthealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 5014621 | NC | |
| Nurse Practitioner | 363L00000X | 5014621 | NC | Yes |
Addresses
Primary practice location
1919 W Park Dr
North Wilkesboro, NC 28659-3564
Mailing address
PO Box 751803
Charlotte, NC 28275-1803
Other practice location 1
1919 W Park Dr
North Wilkesboro, NC 28659-3564
Phone (336) 651-2980
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | smiller767313@direct.novanthealth.org |
NPI Registry JSON
{
"created_epoch": "1623974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722297600000",
"number": "1164091732",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 751803",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282751803"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1919 W PARK DR",
"city": "NORTH WILKESBORO",
"state": "NC",
"postal_code": "286593564",
"telephone_number": "336-651-2980",
"fax_number": "336-667-2047"
}
],
"practiceLocations": [
{
"address_1": "1919 W Park Dr",
"address_purpose": "LOCATION",
"city": "North Wilkesboro",
"state": "NC",
"postal_code": "286593564",
"country_code": "US",
"telephone_number": "336-651-2980",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MILLER",
"first_name": "SARAH",
"middle_name": "SHEPHERD",
"name_prefix": "Dr.",
"credential": "RN, DNP, FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-18",
"last_updated": "2024-07-30",
"certification_date": "2024-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NC",
"license": "5014621",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NC",
"license": "5014621",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "smiller767313@direct.novanthealth.org",
"affiliation": "N",
"address_1": "1919 W Park Dr",
"city": "North Wilkesboro",
"state": "NC",
"country_code": "US",
"postal_code": "286593564",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in North Wilkesboro, NC
- Rachel Shepherd Miles
- Theodore Miley Jr.
- Emily Taylor Miller
- Kristin Kaelke Miller
- Patrick Benjamin Miller
- Melissa Reynolds Minton
- Penny Minton
- MJ Mayhew PA
- Modlin & Londry VI DDS PLLC
- Moffitt Audiology, PLLC
All providers in North Wilkesboro, NC · Nurse Practitioner in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 30, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.