NPIMap

Individual provider Active NPI

Natalie Darlene Miller, PA-C

  • Medical Physician Assistant
  • Fort Collins, CO
National Provider Identifier
1235578477
Registry record updated Dec 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA0006021 Issued in CO
Practice address
2032 Lowe St
Fort Collins, CO 80525-5741
Phone
(970) 342-2222
Fax
(970) 342-2233
NPI assigned
Jun 20, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA0006021 CO Primary
Medical Physician Assistant 363AM0700X 4690-23 WI
Medical Physician Assistant 363AM0700X 1110395 SC

Addresses

Primary practice location

2032 Lowe St
Fort Collins, CO 80525-5741

Mailing address

4795 Larimer Pkwy Ste 150
Johnstown, CO 80534-9588
Phone (970) 342-2222

Other practice location 1

4795 Larimer Pkwy Ste 150
Johnstown, CO 80534-9588
Phone (970) 342-2222

Other practice location 2

1350 Tulip St Ste 2
Longmont, CO 80501-3140
Phone (970) 342-2222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210506001839 CO Practitioner - Physician Assistant 4688817539 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Altitude Dermatology PCGroup PAC ID 8527505601, 8 clinicians

Practice addresses (Care Compare)

4795 Larimer Pkwy
Suite 150
Johnstown, CO 80534-9021
Phone (970) 342-2222

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
50 of 100Reported as group
Quality
0
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
98.01 of 100Reported as group
Quality
96.38
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA0006021COMDMedical Physician Assistant
1110395SCMDMedical Physician Assistant
4690-23WIMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Greenville Health System Past Accepting new patients

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 15

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1371686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734480000000",
    "number": "1235578477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4795 LARIMER PKWY STE 150",
            "city": "JOHNSTOWN",
            "state": "CO",
            "postal_code": "805349588",
            "telephone_number": "970-342-2222",
            "fax_number": "970-342-2233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2032 LOWE ST",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805255741",
            "telephone_number": "970-342-2222",
            "fax_number": "970-342-2233"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4795 Larimer Pkwy Ste 150",
            "address_purpose": "LOCATION",
            "city": "Johnstown",
            "state": "CO",
            "postal_code": "805349588",
            "country_code": "US",
            "telephone_number": "970-342-2222",
            "fax_number": "970-342-2233",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1350 Tulip St Ste 2",
            "address_purpose": "LOCATION",
            "city": "Longmont",
            "state": "CO",
            "postal_code": "805013140",
            "country_code": "US",
            "telephone_number": "970-342-2222",
            "fax_number": "970-342-2233",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "NATALIE",
        "middle_name": "DARLENE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-20",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CO",
            "license": "PA0006021",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WI",
            "license": "4690-23",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "SC",
            "license": "1110395",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

Verify at the official NPI Registry.