Active NPI
Christina Maria Miller, DNP, CRNP, FNP-C
- Family Nurse Practitioner
- Monticello, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F351886
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F351886 | NY | MD | Family Nurse Practitioner |
| SP027772 | PA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Catskill Dermatology, PC | Current | Accepting new patients | |
| Lehigh Valley Hospital Pocono | Past | Accepting new patients | |
| Lisa Pathak MD LLC | Past | 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.
-
- Dermatology Physician
- Monticello, NY
- NPI 1235279233
-
dba Health Spectrum Pharmacy Services Pocono
- Community/Retail Pharmacy
- East Stroudsburg, PA
- NPI 1447772868
-
dba Dingmans Medical
- Primary Care Clinic/Center
- Dingmans Ferry, PA
- NPI 1841431418
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.