Individual provider Active NPI

Christina Maria Miller, DNP, CRNP, FNP-C

  • Family Nurse Practitioner
  • Monticello, NY
National Provider Identifier
1326724824
Registry record updated Jan 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F351886 Issued in NY
Practice address
110 Bridgeville Rd Ste 3
Monticello, NY 12701-3830
Phone
(845) 794-3030
Fax
(845) 794-3036
NPI assigned
Jun 27, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 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 SP027772 PA
Family Nurse Practitioner 363LF0000X F351886 NY Primary

Addresses

Primary practice location

110 Bridgeville Rd Ste 3
Monticello, NY 12701-3830

Mailing address

116 Wooded Acres Dr
Greeley, PA 18425-9747
Phone (570) 228-1627

Other practice location 1

1997 Route 17M
Goshen, NY 10924-5229
Phone (845) 294-6123

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20250411000839 NY Practitioner - Nurse Practitioner 3779007745 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F351886NYMDFamily Nurse Practitioner
SP027772PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Catskill Dermatology, PC CurrentSince Feb 4, 2025 Accepting new patients
Lehigh Valley Hospital Pocono PastSince Jul 1, 2023 Accepting new patients
Lisa Pathak MD LLC PastSince Jul 1, 2023 Accepting new patients

Locations

1997 Route 17M
Goshen, NY 10924
Phone (845) 291-7488

110 Bridgeville Rd
Ste 3
Monticello, NY 12701
Phone (845) 794-3030

Organizations & group practices 3

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": "1687824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736380800000",
    "number": "1326724824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 WOODED ACRES DR",
            "city": "GREELEY",
            "state": "PA",
            "postal_code": "184259747",
            "telephone_number": "570-228-1627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 BRIDGEVILLE RD STE 3",
            "city": "MONTICELLO",
            "state": "NY",
            "postal_code": "127013830",
            "telephone_number": "845-794-3030",
            "fax_number": "845-794-3036"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1997 Route 17M",
            "address_purpose": "LOCATION",
            "city": "Goshen",
            "state": "NY",
            "postal_code": "109245229",
            "country_code": "US",
            "telephone_number": "845-294-6123",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "CHRISTINA",
        "middle_name": "MARIA",
        "credential": "DNP, CRNP, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-27",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP027772",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F351886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monticello, NY

Sources for this page

Verify at the official NPI Registry.