Individual provider Active NPI

Denise Marie Miller, RN

  • Psychiatric/Mental Health Nurse Practitioner
  • Pottstown, PA
National Provider Identifier
1225690225
Registry record updated Jan 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
SPO24132 Issued in PA
Practice address
1630 E High St
Pottstown, PA 19464-3244
Phone
(610) 327-1631
NPI assigned
Jul 1, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatric/Mental Health Registered Nurse 163WP0807X RN638296 PA
Adult Psychiatric/Mental Health Registered Nurse 163WP0809X RN638296 PA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X SPO24132 PA Primary

Addresses

Primary practice location

1630 E High St
Pottstown, PA 19464-3244

Mailing address

10 Walnut St
Phoenixville, PA 19460-3542
Phone (610) 656-7818

Other practice location 1

1041 W Bridge St Ste 5
Phoenixville, PA 19460-4342
Phone (610) 415-9301 ext. 2214

Other practice location 2

103 Garris Rd
Downingtown, PA 19335-3115
Phone (484) 657-4802

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL Phoenixville
CONNECT URL www.yongshinmd.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20211201000074 PA Practitioner - Nurse Practitioner 0547650863 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Delaware County Professional Services, IncGroup PAC ID 2668436692, 276 clinicians

Practice addresses (Care Compare)

1005 W 9TH Ave
Suite B
King of Prussia, PA 19406-1202
Phone (610) 892-3800

3800 Sierra Cir
Suite 210
Center Valley, PA 18034-8476
Phone (610) 892-3800

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN638296PAMDAdult Psychiatric/Mental Health Registered Nurse
SPO24132PAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fellowship Health Resources, Inc CurrentSince Sep 25, 2021 Accepting new patients
Delaware County Professional Services, Inc CurrentSince Sep 6, 2023 Accepting new patients
Yong Shik Shin MD and Associates LLC CurrentSince Nov 1, 2021 Accepting new patients
Resilio Mental Health Solutions LLC Psychiatric/Mental Health PastSince Apr 17, 2022 Accepting new patients
Fellowship Health Resources, Inc. PastSince May 31, 2020 Accepting new patients

Locations

3800 Sierra Cir
Ste 210
Center Valley, PA 18034
Phone (855) 995-5384

357 S Gulph Rd
Ste 260
King of Prussia, PA 19406
Phone (484) 468-1407

1041 W Bridge St
Ste 5
Phoenixville, PA 19460
Phone (610) 415-9301

1630 E High St
Bldg 4
Pottstown, PA 19464
Phone (610) 326-7880

780 E Market St
West Chester, PA 19382
Phone (425) 908-0237

24 Albion Rd
Ste 420
Lincoln, RI 02865
Phone (401) 333-3980

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.denisemiller@141748.advancedmd-direct.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1561939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674172800000",
    "number": "1225690225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 WALNUT ST",
            "city": "PHOENIXVILLE",
            "state": "PA",
            "postal_code": "194603542",
            "telephone_number": "610-656-7818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 E HIGH ST",
            "city": "POTTSTOWN",
            "state": "PA",
            "postal_code": "194643244",
            "telephone_number": "610-327-1631"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1041 W Bridge St Ste 5",
            "address_purpose": "LOCATION",
            "city": "Phoenixville",
            "state": "PA",
            "postal_code": "194604342",
            "country_code": "US",
            "telephone_number": "610-415-9301 x2214",
            "fax_number": "610-415-1656",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "103 Garris Rd",
            "address_purpose": "LOCATION",
            "city": "Downingtown",
            "state": "PA",
            "postal_code": "193353115",
            "country_code": "US",
            "telephone_number": "484-657-4802",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "DENISE",
        "middle_name": "MARIE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-01",
        "last_updated": "2023-01-20",
        "certification_date": "2023-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0807X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Child & Adolescent",
            "state": "PA",
            "license": "RN638296",
            "primary": false
        },
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "PA",
            "license": "RN638296",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SPO24132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Phoenixville",
            "affiliation": "N",
            "endpointDescription": "Electronic Health Record",
            "address_1": "1041 W Bridge St Ste 5",
            "city": "Phoenixville",
            "state": "PA",
            "country_code": "US",
            "postal_code": "194604342",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.yongshinmd.com",
            "affiliation": "N",
            "address_1": "1630 E High St",
            "city": "Pottstown",
            "state": "PA",
            "country_code": "US",
            "postal_code": "194643244",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pottstown, PA

Sources for this page

Verify at the official NPI Registry.