Active NPI
Timothy Dutch Miller, APRN
- Family Nurse Practitioner
- Lincoln, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 111076
- Practice address
- 575 S 70TH St Ste 200
Lincoln, NE 68510 - Phone
- (402) 488-3322
- NPI assigned
- Jul 28, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 111076 | NE | Primary |
Addresses
Primary practice location
575 S 70TH St Ste 200
Lincoln, NE 68510
Mailing address
575 S 70TH St Ste 200
Lincoln, NE 68510-2471
Phone (402) 488-3322
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245461011 | Other | NPI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE, IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1221 E Pierce St
Suite 100
Council Bluffs, IA 51503-4714
Phone (531) 867-4466
2255 S 132ND St
Suite 100
Omaha, NE 68144-2573
Phone (402) 681-4030
5445 Red Rock LN
Suite 300
Lincoln, NE 68516-6528
Phone (531) 571-3871
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aletheia Integrative MC LLC | Current | Accepting new patients | |
| Heartland Urgent Care LP | Current | Accepting new patients | |
| Pgfhgs Holdings LLC | Current | Accepting new patients | |
| The Express Clinic, LLC | Past | Accepting new patients | |
| LMMC Lincoln, LLC | Past | Accepting new patients | |
| LMMC LLC | Past | Accepting new patients | |
| Family Healthcare of Wahoo, LLC | Past | Accepting new patients |
Locations
1221 E Pierce St
Ste 100
Council Bluffs, IA 51503
Phone (402) 671-2644
7 Elliott St
Council Bluffs, IA 51503
Phone (531) 867-4466
5445 Red Rock Ln
Ste 300
Lincoln, NE 68516
Phone (531) 571-3871
965 S 27th St
Ste D
Lincoln, NE 68510
Phone (402) 477-3505
2255 S 132nd St
Ste 100
Omaha, NE 68144
Phone (402) 614-4969
Organizations & group practices 9
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.
-
- Family Medicine Physician
- Lincoln, NE
- NPI 1841005055
-
- Family Nurse Practitioner
- Hickman, NE
- NPI 1033649884
-
dba Cityscape Healthcare
- Specialist
- Council Bluffs, IA
- NPI 1669347928
NE
-
- Urgent Care Clinic/Center
- Lincoln, NE
- NPI 1922339134
-
- Family Medicine Physician
- Wahoo, NE
- NPI 1699877423
-
dba Limitless Male Medical Clinic
- General Practice Physician
- Lincoln, NE
- NPI 1194202358
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Long Term Care Hospital
- Omaha, NE
- NPI 1518967124
Long-term care hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248739200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528416000000",
"number": "1245461011",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "575 S 70TH ST STE 200",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685102471",
"telephone_number": "402-488-3322"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "575 S 70TH ST STE 200",
"city": "LINCOLN",
"state": "NE",
"postal_code": "68510",
"telephone_number": "402-488-3322"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "TIMOTHY",
"middle_name": "DUTCH",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-07-28",
"last_updated": "2018-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NE",
"license": "111076",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1245461011",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lincoln, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2018; 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.