Julie Ann Miller, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

6101 SW Fair View Blvd
Bentonville, AR 72713-8552

Phone

(859) 382-5898

NPI assigned

Aug 9, 2022

Last updated

Aug 9, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

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

Specialty

Physician Assistant

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Northeastern Oklahoma Community Health Centers, IncGroup PAC ID 3678482635, 38 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Northeastern Health System Hospital, Tahlequah, OK, CCN 370089

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/932b43fb-c766-413c-a343-640549d20cb3/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Northeastern Oklahoma Community Health Centers Inc

  dba Hulbert Health Center

  • Federally Qualified Health Center (FQHC)
  • Hulbert, OK
  • NPI 1518070481
  Medicare reassignment Care Compare group NPD
• Northeastern Oklahoma Community Health Centers Inc

  dba Pryor Family Medical Center

  • Federally Qualified Health Center (FQHC)
  • Pryor, OK
  • NPI 1669101184
  NPD
• Siloam Springs Arkansas Hospital Company LLC

  dba Siloam Springs Regional Hospital

  • General Acute Care Hospital
  • Siloam Springs, AR
  • NPI 1902051816
  NPD (past)
• Northeastern Health System

  dba Tahlequah City Hospital

  • General Acute Care Hospital
  • Tahlequah, OK
  • NPI 1003865999
  NPD (past)
• Northeastern Oklahoma Community Health Centers, Inc

  dba NeoHealth

  • Federally Qualified Health Center (FQHC)
  • Westville, OK
  • NPI 1821390402
  NPD (past)
• Northeastern Oklahoma Community Health Centers, Inc

  dba NeoHealth

  • Federally Qualified Health Center (FQHC)
  • Tahlequah, OK
  • NPI 1891097077
  NPD (past)

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

• Northeastern Health System

  dba Tahlequah City Hospital

  • General Acute Care Hospital
  • Tahlequah, OK
  • NPI 1003865999
  Care Compare affiliation
• Northeastern Health System

  dba Fort Gibson Medical Clinic

  • Rural Health Clinic/Center
  • Fort Gibson, OK
  • NPI 1013458652

  Hospital

  Care Compare affiliation
• Northeastern Health System

  dba Tahlequah Medical Group Primary Care

  • Rural Health Clinic/Center
  • Tahlequah, OK
  • NPI 1306387949

  Hospital

  Care Compare affiliation
• Northeastern Health System

  • Addiction (Substance Use Disorder) Counselor
  • Tahlequah, OK
  • NPI 1689338519

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1660003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660003200000",
    "number": "1235867144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 SW FAIR VIEW BLVD",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727138552",
            "telephone_number": "859-382-5898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6101 SW FAIR VIEW BLVD",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727138552",
            "telephone_number": "859-382-5898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "JULIE",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-09",
        "last_updated": "2022-08-09",
        "certification_date": "2022-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mid-Cities Ambulatory Surgery Center LLC
• Angela Michelle Milam, PD
• Kirk Eugene Milam, PHARM D
• Kali Miles
• Emily Lorraine Miller
• Robert M Miller, MD
• Ian Millerschultz, DDS
• Sean Millhouse, LPC
• John Brett Mills, OD
• Omie Mills, MD

• Physician Assistant in Bentonville, AR
• Providers in Bentonville, AR by specialty
• Physician Assistant in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2022; 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.

Verify at the official NPI Registry.