Individual provider Active NPI

Kimberly K Miller, CNM

  • Advanced Practice Midwife
  • Columbus, OH
National Provider Identifier
1174952022
Registry record updated Jan 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
APRN.CNM.15197 Issued in OH
Practice address
921 Jasonway Ave Ste B
Columbus, OH 43214-2456
Phone
(614) 268-8800
Fax
(614) 447-8876
NPI assigned
Nov 1, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 15197 OH
Advanced Practice Midwife 367A00000X APRN.CNM.15197 OH Primary

Addresses

Primary practice location

921 Jasonway Ave Ste B
Columbus, OH 43214-2456

Mailing address

921 Jasonway Ave Ste B
Columbus, OH 43214-2456
Phone (614) 268-8800

Other identifiers 1

IdentifierTypeStateIssuer
0093537MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kmiller39178@direct.ohiohealth.com

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131217001210 OH Practitioner - Certified Nurse Midwife (CNM) 6305073404 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
80.04 of 100Reported as group
Quality
58.67
Promoting interoperability
98
Improvement activities
40
Cost
76.46

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15197OHMDAdvanced Practice Midwife
APRN.CNM.15197OHMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Ohiohealth Corporation CurrentSince Dec 1, 2020 Accepting new patients
Ohiohealth Corporation CurrentSince Dec 1, 2020 Accepting new patients
Professionals for Womens Health Inc CurrentSince Nov 2, 2013 Accepting new patients

Locations

393 E Town St
Ste 116
Columbus, OH 43215
Phone (614) 566-9108

921 Jasonway Ave
Ste B
Columbus, OH 43214
Phone (614) 268-3505

Dept L3652
Columbus, OH 43260

6870 Perimeter Dr
#A
Dublin, OH 43016
Phone (614) 268-8800

7500 Hospital Dr
Dublin, OH 43016
Phone (614) 544-8000

Interoperability endpoints

  • Direct secure messaging: kimberly.miller.1@87.direct.athenahealth.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1383264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673308800000",
    "number": "1174952022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 JASONWAY AVE STE B",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432142456",
            "telephone_number": "614-268-8800",
            "fax_number": "614-447-8876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 JASONWAY AVE STE B",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432142456",
            "telephone_number": "614-268-8800",
            "fax_number": "614-447-8876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "KIMBERLY",
        "middle_name": "K",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-01",
        "last_updated": "2023-01-10",
        "certification_date": "2023-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "OH",
            "license": "15197",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "OH",
            "license": "APRN.CNM.15197",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0093537",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kmiller39178@direct.ohiohealth.com",
            "affiliation": "N",
            "address_1": "921B Jasonway Ave",
            "city": "Columbus",
            "state": "OH",
            "country_code": "US",
            "postal_code": "432142330",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.