Individual provider Active NPI

Joan Miller, CRNP

  • Family Nurse Practitioner
  • Hagerstown, MD
National Provider Identifier
1174972152
Registry record updated Jun 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024173484 Issued in MD
Practice address
303 Memorial Blvd W
Hagerstown, MD 21740-6219
Phone
(301) 791-7060
NPI assigned
Jun 9, 2016
Sex
Female
Sole proprietor
No

Organizations & group practices 5

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.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Manbir Takhar PC 41 clinicians
Tru Health Group PC 29 clinicians

Practice addresses (Care Compare)

1210 Wolf Rock Dr
Purcellville, VA 20132-5835
Phone (540) 952-0570

7598 Telegraph Rd
Alexandria, VA 22315-3829
Phone (703) 778-0400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC, VA3 enrollments
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.

Medicare enrollment records 3

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20170629001571 MD Practitioner - Nurse Practitioner 5597034884 Reassigns benefits to 1 organization
I20240920003596 DC Practitioner - Nurse Practitioner 5597034884 Reassigns benefits to 3 organizations
I20241104002161 VA Practitioner - Nurse Practitioner 5597034884 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024173484MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Access P.C. CurrentSince Aug 1, 2024 Accepting new patients
Manbir Takhar, P.C. CurrentSince Aug 1, 2024 Accepting new patients
Tru Health Group, PC CurrentSince Jul 14, 2024 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

12321 Middlebrook Rd
Ste 101
Germantown, MD 20874
Phone 3014281070260

12321 Middlebrook Rd
Ste 102
Germantown, MD 20874
Phone (301) 428-3192

7598 Telegraph Rd
Alexandria, VA 22315
Phone (703) 778-0400

25031 Riding Plz
Chantilly, VA 20152

531 E Market St
Leesburg, VA 20176

531 E Market St
Ste D
Leesburg, VA 20176
Phone (301) 427-1070

1210 Wolf Rock Dr
Purcellville, VA 20132
Phone (310) 428-1070

1231 Wolf Rock Dr
Ste 185
Purcellville, VA 20132

25031 Riding Plz
Ste 115B
South Riding, VA 20152
Phone (571) 267-2350

22000 Dulles Retail Plz
Ste 132
Sterling, VA 20166
Phone (703) 962-4160

22000 Dulles Retail Plz
Sterling, VA 20166
Phone (703) 421-3322

14520 Richmond Hwy
Woodbridge, VA 22191
Phone (703) 497-1234

Interoperability endpoints

  • Direct secure messaging: joan.miller.1@20907.direct.athenahealth.com
  • Direct secure messaging: joan.miller.1@14168.direct.athenahealth.com

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024173484 MD Primary

Addresses

NPPES NPI Registry

Primary practice location

303 Memorial Blvd W
Hagerstown, MD 21740-6219

Mailing address

303 Memorial Blvd W
Hagerstown, MD 21740-6219
Phone (301) 791-7060

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 9, 2016.

{
    "created_epoch": "1465430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465430400000",
    "number": "1174972152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 MEMORIAL BLVD W",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217406219",
            "telephone_number": "301-791-7060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 MEMORIAL BLVD W",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217406219",
            "telephone_number": "301-791-7060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "JOAN",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-09",
        "last_updated": "2016-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "0024173484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hagerstown, MD

Sources for this page

Verify at the official NPI Registry.