Scott Miller, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

71009762A Issued in IN

Practice address

1651 E 29TH St
Muncie, IN 47302-5886

Phone

(765) 747-1164

NPI assigned

Feb 5, 2020

Last updated

Feb 5, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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 IN

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

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

My Mobile MD LLCGroup PAC ID 1052617826, 27 clinicians

My Mobile MD Indiana LLCGroup PAC ID 9830607605, 29 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hoosier Homecare Services LLC Home health agency, Anderson, IN, CCN 157608
• Centerwell Home Health Home health agency, Muncie, IN, CCN 157180
• Indiana University Health Ball Memorial Hospital Hospital, Muncie, IN, CCN 150089

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• My Mobile MD Indiana LLC

  • Family Medicine Physician
  • Indianapolis, IN
  • NPI 1912898321
  Medicare reassignment Care Compare group NPD
• My Mobile MD LLC

  • Family Medicine Physician
  • Indianapolis, IN
  • NPI 1225495716
  Medicare reassignment Care Compare group NPD
• Fast Pace Medical Clinic PLLC

  • Family Medicine Physician
  • Hanover, IN
  • NPI 1649770769
  Medicare reassignment NPD
• FC Indiana, LLC

  dba First Care Clinics

  • Nurse Practitioner
  • Bedford, IN
  • NPI 1225579063
  Medicare reassignment NPD
• FC Indiana, LLC

  • Rural Health Clinic/Center
  • Bedford, IN
  • NPI 1841911591
  NPD
• Fast Pace Medical Clinic PLLC

  • Rural Health Clinic/Center
  • Chapel Hill, TN
  • NPI 1316602774
  NPD
• Open Door Health Services, Inc.

  dba Open Door Health Services Blackford County

  • Federally Qualified Health Center (FQHC)
  • Hartford City, IN
  • NPI 1245094028
  NPD (past)

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

• Centerwell Certified Healthcare Corp.

  dba CenterWell Home Health

  • Home Health Agency
  • Muncie, IN
  • NPI 1548292717
  Care Compare affiliation
• Hoosier Homecare Services, LLC

  • Home Health Agency
  • Anderson, IN
  • NPI 1801075049
  Care Compare affiliation
• Indiana University Health Ball Memorial Hospital, Inc.

  • General Acute Care Hospital
  • Muncie, IN
  • NPI 1225195340
  Care Compare affiliation

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

{
    "created_epoch": "1580860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580860800000",
    "number": "1255963575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1651 E 29TH ST",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473025886",
            "telephone_number": "765-747-1164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1651 E 29TH ST",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473025886",
            "telephone_number": "765-747-1164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "SCOTT",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-02-05",
        "last_updated": "2020-02-05",
        "certification_date": "2020-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71009762A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APRN NUMBER",
            "identifier": "71009762A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Keith W. Miller, MD
• Kimberly Ann Miller, C.O.T.A
• Madelynn Miller
• Megan Elise Miller, MA, CCC-SLP
• Rachel Marie Miller
• Trenton Alexander Miller
• Zoe Miller, RBT
• Wayne Miracle, ED.D. HSPP
• Charles C Miraglia, M.D.
• Missy's Mighty Munchkins, LLC

• Family Nurse Practitioner in Muncie, IN
• Providers in Muncie, IN by specialty
• Family Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2020; 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.