Individual provider Active NPI

Adrian William Miller, FNP

  • Family Nurse Practitioner
  • Waterloo, IA
National Provider Identifier
1306516513
Registry record updated Jun 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A159408 Issued in IA
Practice address
2710 Saint Francis Dr Ste 111
Waterloo, IA 50702-5664
Phone
(319) 272-7425
Fax
(319) 272-8059
NPI assigned
Sep 18, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 65233 NM
Family Nurse Practitioner 363LF0000X A159408 IA Primary

Addresses

Primary practice location

2710 Saint Francis Dr Ste 111
Waterloo, IA 50702-5664

Mailing address

3111 Eubank Blvd NE Ste B
Albuquerque, NM 87111-4875

Other practice location 1

3111 Eubank Blvd NE Ste B
Albuquerque, NM 87111-4875
Phone (505) 433-2186

Other practice location 2

226 Bluebell Rd
Cedar Falls, IA 50613-6328
Phone (319) 272-7425

Other practice location 3

129 8th Ave SE
Oelwein, IA 50662-2352
Phone (319) 283-6500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20220524001811 IA Practitioner - Nurse Practitioner 6305223736 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Covenant Medical Center IncGroup PAC ID 0244148732, 234 clinicians

Practice addresses (Care Compare)

129 8TH Ave SE
Oelwein, IA 50662-2352

226 Bluebell Rd
Cedar Falls, IA 50613-6328
Phone (319) 575-5800

2710 Saint Francis Dr
Waterloo, IA 50702-5619
Phone (319) 272-5000

2710 Saint Francis Dr
Waterloo, IA 50702-5664

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A159408IAMDFamily Nurse Practitioner
65233NMMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Covenant Medical Center Inc CurrentSince May 23, 2022 Accepting new patients
Covenant Medical Center, Inc. CurrentSince May 23, 2022 Accepting new patients

Locations

751 Main St
Arlington, IA 50606
Phone (563) 633-6965

226 Bluebell Rd
Cedar Falls, IA 50613
Phone (319) 575-5800

129 8th Ave SE
Oelwein, IA 50662
Phone (319) 283-6153

2710 Saint Francis Dr
Ste 111
Waterloo, IA 50702
Phone (319) 272-7425

3421 W 9th St
Waterloo, IA 50702
Phone (319) 272-7050

Interoperability endpoints

  • Direct secure messaging: amiller3934742@direct.trinity-health.org

Organizations & group practices 2

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 2

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": "1631923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749686400000",
    "number": "1306516513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3111 EUBANK BLVD NE STE B",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871114875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2710 SAINT FRANCIS DR STE 111",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507025664",
            "telephone_number": "319-272-7425",
            "fax_number": "319-272-8059"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3111 Eubank Blvd NE Ste B",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871114875",
            "country_code": "US",
            "telephone_number": "505-433-2186",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "226 Bluebell Rd",
            "address_purpose": "LOCATION",
            "city": "Cedar Falls",
            "state": "IA",
            "postal_code": "506136328",
            "country_code": "US",
            "telephone_number": "319-272-7425",
            "fax_number": "319-575-5617",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "129 8th Ave SE",
            "address_purpose": "LOCATION",
            "city": "Oelwein",
            "state": "IA",
            "postal_code": "506622352",
            "country_code": "US",
            "telephone_number": "319-283-6500",
            "fax_number": "319-283-6509",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "ADRIAN",
        "middle_name": "WILLIAM",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-18",
        "last_updated": "2025-06-12",
        "certification_date": "2025-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "65233",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A159408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterloo, IA

Sources for this page

Verify at the official NPI Registry.