Individual provider Active NPI

Timothy Dutch Miller, APRN

  • Family Nurse Practitioner
  • Lincoln, NE
National Provider Identifier
1245461011
Registry record updated Jun 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
111076 Issued in NE
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

Updated by the provider on Jun 8, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1245461011OtherNPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, IA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20091016000338 NE Practitioner - Nurse Practitioner 6305983727 Reassigns benefits to 4 organizations
I20260421004089 IA Practitioner - Nurse Practitioner 6305983727 Reassigns benefits to 2 organizations

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
Pgfhgs Holdings LLCGroup PAC ID 9537695481, 12 clinicians

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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Aletheia Integrative MC LLC CurrentSince Jun 16, 2025 Accepting new patients
Heartland Urgent Care LP CurrentSince Sep 20, 2016 Accepting new patients
Pgfhgs Holdings LLC CurrentSince Feb 16, 2026 Accepting new patients
The Express Clinic, LLC PastSince Apr 13, 2015 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.

Hospital & facility affiliations 1

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

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

Verify at the official NPI Registry.