Active NPI
Joan Miller, CRNP
- Family Nurse Practitioner
- Hagerstown, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 0024173484
- 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.
-
- Primary Care Clinic/Center
- Germantown, MD
- NPI 1457322505
-
- Urgent Care Clinic/Center
- Germantown, MD
- NPI 1194471946
-
- Urgent Care Clinic/Center
- Germantown, MD
- NPI 1144291204
-
- Pediatrics Physician
- Hagerstown, MD
- NPI 1851515902
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
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 PCTru Health Group PC
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, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Medicare enrollment records 3
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 0024173484 | MD | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Access P.C. | Current | Accepting new patients | |
| Manbir Takhar, P.C. | Current | Accepting new patients | |
| Tru Health Group, PC | Current | 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
- joan.miller.1@20907.direct.athenahealth.com
- joan.miller.1@14168.direct.athenahealth.com
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 0024173484 | MD | Primary |
Addresses
NPPES NPI RegistryPrimary 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.