Individual provider Active NPI

Carrie Lee Miller

  • Family Nurse Practitioner
  • Washington, PA
National Provider Identifier
1326872870
Registry record updated Nov 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP030611 Issued in PA
Practice address
283 Potato Run Rd
Washington, PA 15301-7152
Phone
(724) 350-5304
NPI assigned
Aug 28, 2024
Last updated
Nov 6, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2024

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 SP030611 PA Primary
Registered Nurse 163W00000X RN561807 PA

Addresses

Primary practice location

283 Potato Run Rd
Washington, PA 15301-7152

Mailing address

283 Potato Run Rd
Washington, PA 15301-7152
Phone (724) 350-5304

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20241230001028 PA Practitioner - Nurse Practitioner 6406383652 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Christa Malinak MD Family Practice LLCGroup PAC ID 5395154967, 2 clinicians

Practice addresses (Care Compare)

100 Stoops Dr
Suite 340
Monongahela, PA 15063-3553
Phone (724) 565-5393

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN561807PAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Christa Malinak MD Family Practice LLC CurrentSince Dec 2, 2024 Accepting new patients

Locations

100 Stoops Dr
Ste 320
Monongahela, PA 15063
Phone (724) 565-5393

Interoperability endpoints

  • Direct secure messaging: cmiller@christamalinakmd.medentdirect.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1724803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730851200000",
    "number": "1326872870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "283 POTATO RUN RD",
            "city": "WASHINGTON",
            "state": "PA",
            "postal_code": "153017152",
            "telephone_number": "724-350-5304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "283 POTATO RUN RD",
            "city": "WASHINGTON",
            "state": "PA",
            "postal_code": "153017152",
            "telephone_number": "724-350-5304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "CARRIE",
        "middle_name": "LEE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-28",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP030611",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN561807",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, PA

Sources for this page

Verify at the official NPI Registry.