Individual provider Active NPI

Sarah Victoria Miller

  • Family Nurse Practitioner
  • Breckenridge, MN
National Provider Identifier
1205692969
Registry record updated Feb 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R47831 Issued in ND
Practice address
2400 St Francis Dr
Breckenridge, MN 56520-1025
Phone
(218) 643-0747
NPI assigned
Feb 21, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R47831 ND Primary

Addresses

Primary practice location

2400 St Francis Dr
Breckenridge, MN 56520-1025

Mailing address

16345 67TH St SE
Walcott, ND 58077-9548
Phone (701) 640-9177

Other practice location 1

401 Main St
Milnor, ND 58060-4001
Phone (701) 427-5300

Other names 1

  • Sarah Ehlert Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, ND2 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.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240410002306 MN Practitioner - Nurse Practitioner 3870931785 Reassigns benefits to 2 organizations
I20240410002766 ND Practitioner - Nurse Practitioner 3870931785 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Francis Medical CenterGroup PAC ID 8123937992, 16 clinicians

Practice addresses (Care Compare)

401 Main St
Milnor, ND 58060-4001
Phone (701) 427-5300

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R47831NDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St. Francis Medical Center Current Accepting new patients
St. Francis Medical Center CurrentSince Mar 21, 2024 Accepting new patients
St Francis Medical Center CurrentSince Mar 21, 2024 Accepting new patients

Locations

3293 Solutions Ctr
Chicago, IL 60677

2400 St Francis Dr
Breckenridge, MN 56520
Phone (218) 643-0226

Interoperability endpoints

  • Direct secure messaging: sarahmiller@normd.allscriptsdirect.net

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.

Hospital & facility affiliations 1

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": "1708473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708473600000",
    "number": "1205692969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16345 67TH ST SE",
            "city": "WALCOTT",
            "state": "ND",
            "postal_code": "580779548",
            "telephone_number": "701-640-9177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 ST FRANCIS DR",
            "city": "BRECKENRIDGE",
            "state": "MN",
            "postal_code": "565201025",
            "telephone_number": "218-643-0747"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "401 Main St",
            "address_purpose": "LOCATION",
            "city": "Milnor",
            "state": "ND",
            "postal_code": "580604001",
            "country_code": "US",
            "telephone_number": "701-427-5300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "SARAH",
        "middle_name": "VICTORIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-21",
        "last_updated": "2024-02-21",
        "certification_date": "2024-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ND",
            "license": "R47831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "EHLERT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Breckenridge, MN

Sources for this page

Verify at the official NPI Registry.