Active NPI
Wade Miller
- Gerontology Nurse Practitioner
- Bethesda, MD
National Provider Identifier
1245154624
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 95031485
- Practice address
- 4494 Palmer Rd. N
Bethesda, MD 20814 - Phone
- (301) 245-0596
- NPI assigned
- Aug 7, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Clinical Nurse Specialist | 364SA2100X | 5156 | CA | |
| Gerontology Nurse Practitioner | 363LG0600X | 95031485 | CA | Primary |
Addresses
Primary practice location
4494 Palmer Rd. N
Bethesda, MD 20814
Mailing address
4494 Palmer Rd. N
Bethesda, MD 20814
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1786060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786060800000",
"number": "1245154624",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4494 PALMER RD. N",
"city": "BETHESDA",
"state": "MD",
"postal_code": "20814"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4494 PALMER RD. N",
"city": "BETHESDA",
"state": "MD",
"postal_code": "20814",
"telephone_number": "301-245-0596"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "WADE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-08-07",
"last_updated": "2026-08-07",
"certification_date": "2026-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "364SA2100X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Acute Care",
"state": "CA",
"license": "5156",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "CA",
"license": "95031485",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bethesda, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.