Individual provider Active NPI

Kaitlyn Miller, PA

  • Physician Assistant
  • Munster, IN
National Provider Identifier
1295373926
Registry record updated Feb 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
10002908A Issued in IN
Practice address
801 Macarthur Blvd Ste 305
Munster, IN 46321-2920
Phone
(219) 703-2401
Fax
(219) 703-6687
NPI assigned
Dec 12, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 10002908A IN Primary

Addresses

Primary practice location

801 Macarthur Blvd Ste 305
Munster, IN 46321-2920

Mailing address

8871 Bradwell PL Apt 207
Fishers, IN 46037-8632

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20200219003000 IN Practitioner - Physician Assistant 3274960851 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
87.3 of 100Reported as group
Quality
70.94
Improvement activities
40
Cost
92.94

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Riverview Hospital CurrentSince Apr 1, 2023 Accepting new patients
Cep America LLC CurrentSince Jul 1, 2022 Accepting new patients
Indiana University Health Ball Memorial Physicians, Inc. CurrentSince May 1, 2021 Accepting new patients
Indiana University Health Ball Memorial Physicians, Inc. CurrentSince May 1, 2021 Accepting new patients
Cep America LLC CurrentSince Jul 1, 2022 Accepting new patients
Major Hospital Past Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

3832 Solutions Ctr
Chicago, IL 60677

2015 Jackson St
Anderson, IN 46016
Phone (765) 646-8243

13500 N Meridian St
Carmel, IN 46032
Phone (317) 573-7000

2001 W 86th St
Indianapolis, IN 46260
Phone (317) 338-3617

1907 W Sycamore St
Kokomo, IN 46901
Phone (765) 452-5611

221 N Celia Ave
Muncie, IN 47303
Phone (765) 747-3141

395 Westfield Rd
Noblesville, IN 46060
Phone (317) 218-3136

1606 N 7th St
Terre Haute, IN 47804
Phone (812) 238-7523

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1576108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676419200000",
    "number": "1295373926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8871 BRADWELL PL APT 207",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460378632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 MACARTHUR BLVD STE 305",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463212920",
            "telephone_number": "219-703-2401",
            "fax_number": "219-703-6687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "KAITLYN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-12",
        "last_updated": "2023-02-15",
        "certification_date": "2023-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IN",
            "license": "10002908A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Munster, IN

Sources for this page

Verify at the official NPI Registry.