Individual provider Active NPI

Serena Jo Miller, CNP

  • Family Nurse Practitioner
  • Chillicothe, OH
National Provider Identifier
1285066647
Registry record updated Dec 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
COA14522-NP Issued in OH
Practice address
100 N Walnut St
Chillicothe, OH 45601-2420
Phone
(740) 779-4514
Fax
(740) 779-8495
NPI assigned
Aug 7, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2020

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 COA14522-NP OH Primary

Addresses

Primary practice location

100 N Walnut St
Chillicothe, OH 45601-2420

Mailing address

272 Hospital Rd
Chillicothe, OH 45601-9031

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address adena.pick.ross@adena.medicity.net

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20131023000047 OH Practitioner - Nurse Practitioner 7315172657 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Wright State University Boonshoft School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Adena Medical Group LLCGroup PAC ID 1153456579, 384 clinicians

Practice addresses (Care Compare)

110 Vaugh Lane
Suite 20
Chillicothe, OH 45601
Phone (740) 779-7201

12340 State Route 104
Waverly, OH 45690-8968
Phone (740) 941-5180

Hospital & facility affiliations

  • Adena Home Health Home health agency, Chillicothe, OH, CCN 367271
  • National Church Residences Home and Community Serv Home health agency, Chillicothe, OH, CCN 368083
  • Adena Regional Medical Center Hospital, Chillicothe, OH, CCN 360159
  • Greenfield Area Medical Center Hospital, Greenfield, OH, CCN 361304
  • Adena Pike Medical Center Hospital, Waverly, OH, CCN 361334

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
COA14522-NPOHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Adena Medical Group LLC CurrentSince Sep 25, 2013 Accepting new patients

Locations

272 Hospital Rd
Ste 4
Chillicothe, OH 45601

272 Hospital Rd
Chillicothe, OH 45601
Phone (740) 779-4275

100 N Walnut St
Chillicothe, OH 45601
Phone (740) 773-2621

4437 State Route 159
Ste 125
Chillicothe, OH 45601
Phone (740) 779-4570

1075 N Washington St
Greenfield, OH 45123
Phone (937) 981-7707

12340 State Route 104
Waverly, OH 45690
Phone (740) 941-5180

Interoperability endpoints

  • Direct secure messaging: smiller1061390@direct.osumc.edu

Organizations & group practices 1

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 5

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": "1375833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608508800000",
    "number": "1285066647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "272 HOSPITAL RD",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456019031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N WALNUT ST",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456012420",
            "telephone_number": "740-779-4514",
            "fax_number": "740-779-8495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "SERENA",
        "middle_name": "JO",
        "name_prefix": "Mrs.",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-07",
        "last_updated": "2020-12-21",
        "certification_date": "2020-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "COA14522-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "adena.pick.ross@adena.medicity.net",
            "affiliation": "N",
            "address_1": "100 N Walnut St",
            "city": "Chillicothe",
            "state": "OH",
            "country_code": "US",
            "postal_code": "456012420",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chillicothe, OH

Sources for this page

Verify at the official NPI Registry.