Teresa Miller, PMHNP, MSN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

APRN.CNP.18859 Issued in OH

Practice address

1501 Madison Rd
Walnut Hills, OH 45206-1706

Phone

(513) 354-5200

NPI assigned

Feb 5, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

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, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Commquest Services, Inc.Group PAC ID 9335110824, 22 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Master of Science - Nursing

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: teresa.miller.p1@direct.oho.nextgenshare.com

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.

• Commquest Services, Inc.

  • Multi-Specialty Clinic/Center
  • Canton, OH
  • NPI 1730168311
  Medicare reassignment Care Compare group
• Ohio North East Health Systems, Inc.

  • Community Health Clinic/Center
  • Youngstown, OH
  • NPI 1700917267
  Medicare reassignment NPD
• Ohio North East Health Systems Inc

  • Federally Qualified Health Center (FQHC)
  • Youngstown, OH
  • NPI 1699236059
  NPD

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

{
    "created_epoch": "1454630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727740800000",
    "number": "1265890164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3109 FIDDLERS RIDGE DR",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452482886",
            "telephone_number": "513-543-8670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 MADISON RD",
            "city": "WALNUT HILLS",
            "state": "OH",
            "postal_code": "452061706",
            "telephone_number": "513-354-5200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1207 W State St Ste M",
            "address_purpose": "LOCATION",
            "city": "Alliance",
            "state": "OH",
            "postal_code": "446014686",
            "country_code": "US",
            "telephone_number": "330-821-8407",
            "fax_number": "330-821-8506",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "625 Cleveland Ave NW",
            "address_purpose": "LOCATION",
            "city": "Canton",
            "state": "OH",
            "postal_code": "447021805",
            "country_code": "US",
            "telephone_number": "330-445-2677",
            "fax_number": "330-455-2101",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "601 Cleveland Ave NW",
            "address_purpose": "LOCATION",
            "city": "Canton",
            "state": "OH",
            "postal_code": "447021836",
            "country_code": "US",
            "telephone_number": "330-453-8252",
            "fax_number": "330-452-4655",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "130 1st St NW",
            "address_purpose": "LOCATION",
            "city": "Massillon",
            "state": "OH",
            "postal_code": "446475452",
            "country_code": "US",
            "telephone_number": "330-833-0234",
            "fax_number": "330-837-7705",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "TERESA",
        "name_prefix": "Mrs.",
        "credential": "PMHNP, MSN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-05",
        "last_updated": "2024-10-01",
        "certification_date": "2024-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "APRN.CNP.18859",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN 385754",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeremiah Medley
• Jessica T Mejia
• Kimberly Marie Melendy, QMHS BA
• Asia N Miller, QMHS BA
• Sara Leah Miller
• Maxwell Molleran, QMHS
• Gary C Moore, QMHS MA
• Joseph M Morgan, QMHS BA
• Timothy Morrissey
• Kristy Mudd

• Psychiatric/Mental Health Nurse Practitioner in Walnut Hills, OH
• Providers in Walnut Hills, OH by specialty
• Psychiatric/Mental Health Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2024; 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.