Olivia Dawn Miller, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

105657 Issued in WV

Practice address

135 S Penn Ave
Harrisville, WV 26362-1371

Phone

(304) 643-4005

NPI assigned

Aug 3, 2019

Last updated

Aug 18, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in WV, FL2 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, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

MD Now Medical Centers IncGroup PAC ID 3971554825, 314 clinicians

Practice addresses (Care Compare)

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.

• MD Now Medical Centers Inc

  • Urgent Care Clinic/Center
  • West Palm Beach, FL
  • NPI 1033195474
  Medicare reassignment Care Compare group NPD
• Ritchie County Primary Care Assoc., Inc.

  dba Integrated Health Centers of West Virginia

  • Federally Qualified Health Center (FQHC)
  • Harrisville, WV
  • NPI 1265404230
  Medicare reassignment
• Ritchie County Primary Care Assoc., Inc.

  dba Integrated Health Centers of West Virginia

  • Federally Qualified Health Center (FQHC)
  • Parkersburg, WV
  • NPI 1700900818
  NPD
• MD Now Medical Centers Inc

  dba MD Now Urgent Care

  • Urgent Care Clinic/Center
  • Pembroke Pines, FL
  • NPI 1265107361
  NPD

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

{
    "created_epoch": "1564790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597708800000",
    "number": "1265087670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 373",
            "city": "HARRISVILLE",
            "state": "WV",
            "postal_code": "263620373",
            "telephone_number": "304-643-4005",
            "fax_number": "304-643-4007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 S PENN AVE",
            "city": "HARRISVILLE",
            "state": "WV",
            "postal_code": "263621371",
            "telephone_number": "304-643-4005"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3205 Charles Dr",
            "address_purpose": "LOCATION",
            "city": "Vienna",
            "state": "WV",
            "postal_code": "261051575",
            "country_code": "US",
            "telephone_number": "304-615-4011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "OLIVIA",
        "middle_name": "DAWN",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-03",
        "last_updated": "2020-08-18",
        "certification_date": "2020-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "105657",
            "primary": true
        },
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "WV",
            "license": "86564",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kstutler@ritchieregional.org",
            "affiliation": "N",
            "address_1": "135 S Penn Ave",
            "city": "Harrisville",
            "state": "WV",
            "country_code": "US",
            "postal_code": "263621371",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Barbara Lowther
• Jeremy Travis Martin
• Patricia Jane Mays, RNC WHNP
• Brian McClaskey
• Jennifer Metz, MA
• Patricia Kay Mills
• Bonnie L Mirbach
• Melissa Ann Modesitt-Colvin
• Kenneth Moore
• Beverly Ann Morrison

• Family Nurse Practitioner in Harrisville, WV
• Providers in Harrisville, WV by specialty
• Family Nurse Practitioner in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.