Ronald Boa Miller Jr., N.P.

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R880596 Issued in MS

Practice address

4402 E Aloha Dr
Diamondhead, MS 39525-3349

Phone

(228) 364-9001

NPI assigned

Mar 2, 2013

Last updated

Nov 21, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MS, LA2 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

Specialty

Nurse Practitioner

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ochsner Mississippi, LLCGroup PAC ID 0143580993, 98 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rmiller1655839@direct.ochsner.org

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.

• Ochsner Mississippi, LLC

  • Internal Medicine Physician
  • Bay Saint Louis, MS
  • NPI 1538674239
  Medicare reassignment Care Compare group NPD
• State of Mississippi - University of Mississippi Medical Center

  • General Acute Care Hospital
  • Jackson, MS
  • NPI 1154317527
  Medicare reassignment NPD
• Independence Emergency Group LLC

  • Emergency Medicine Physician
  • Metairie, LA
  • NPI 1528384773

  Nurse Practitioner

  Medicare reassignment NPD
• LCMC Urgent Care LLC

  • Urgent Care Clinic/Center
  • New Orleans, LA
  • NPI 1184162877
  Medicare reassignment NPD
• Ochsner Clinic LLC

  • General Practice Physician
  • New Orleans, LA
  • NPI 1538151428
  Medicare reassignment NPD
• Cooper Family Medical Center Inc.

  • Clinic/Center
  • Pascagoula, MS
  • NPI 1356478564
  NPD
• Forrest County General Hospital

  dba Pearl River County Hospital

  • Critical Access Hospital
  • Poplarville, MS
  • NPI 1003026717
  NPD
• Ochsner Mississippi, LLC

  dba Ochsner Urgent Care & Occupational Health - Diamondhead

  • Internal Medicine Physician
  • Diamondhead, MS
  • NPI 1316662059
  NPD
• Ochsner Mississippi, LLC

  dba Ochsner Health Center - Diamond Head

  • Internal Medicine Physician
  • Diamondhead, MS
  • NPI 1720596539
  NPD
• Pascagoula Urgent Care

  • Urgent Care Clinic/Center
  • Pascagoula, MS
  • NPI 1235442872
  NPD
• Pearl River County Hospital

  dba Primecare Family Health

  • Family Medicine Physician
  • Purvis, MS
  • NPI 1881992055
  NPD
• State of Mississippi - University of Mississippi Medical Center

  • Prosthetic/Orthotic Supplier
  • Jackson, MS
  • NPI 1235019530
  NPD

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

{
    "created_epoch": "1362182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668988800000",
    "number": "1245571124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1514 JEFFERSON HWY",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701212429",
            "telephone_number": "504-842-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4402 E ALOHA DR",
            "city": "DIAMONDHEAD",
            "state": "MS",
            "postal_code": "395253349",
            "telephone_number": "228-364-9001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "RONALD",
        "middle_name": "BOA",
        "name_suffix": "Jr.",
        "credential": "N.P.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-03-02",
        "last_updated": "2022-11-21",
        "certification_date": "2022-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R880596",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05579539",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Colleen McMahon
• Memorial Hospital at Gulfport (Physicians Clinic at MHG)
• Memorial Hospital at Gulfport
• Memorial Hospital at Gulfport (Memorial Woodland Village Nursing Center)
• Memorial Hospital at Gulfport (Physicians Clinic at MHG)
• Elizabeth Milner, DPT
• Mississippi CVS Pharmacy, LLC (CVS Pharmacy # 10755)
• Andrea M Mitchell, LPC
• Mmemorial Hospital at Gulfport (Physicans Clinic at MHG)
• Susan H Niemann, PHD, LPC

• Family Nurse Practitioner in Diamondhead, MS
• Providers in Diamondhead, MS by specialty
• Family Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 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.