Individual provider Active NPI

David Miller, CNP

  • Acute Care Nurse Practitioner
  • Kenton, OH
National Provider Identifier
1336755990
Registry record updated Jan 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
LE-00032248 Issued in OH
Practice address
921 E Franklin St
Kenton, OH 43326-2020
Phone
(614) 566-8883
Fax
(614) 566-8149
NPI assigned
Sep 18, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X LE-00032248 OH Primary

Addresses

Primary practice location

921 E Franklin St
Kenton, OH 43326-2020

Mailing address

9599 Miles Rd
La Rue, OH 43332-9300
Phone (330) 509-2814

Other practice location 1

9599 Miles Rd
LA Rue, OH 43332-9300
Phone (330) 509-2814

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20210524002604 OH Practitioner - Nurse Practitioner 0840699823 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ohiohealth CorporationGroup PAC ID 6305758426, 2,295 clinicians

Practice addresses (Care Compare)

921 E Franklin St
Kenton, OH 43326-2020
Phone (419) 563-9329

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.04 of 100Reported as group
Quality
58.67
Promoting interoperability
98
Improvement activities
40
Cost
76.46

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
LE-00032248OHMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
NW Ohio Hospital Medicine Physicians LLC CurrentSince Sep 14, 2023 Accepting new patients
Ohiohealth Corporation CurrentSince Dec 1, 2021 Accepting new patients
Blanchard Valley Regional Health Center Current Accepting new patients
Ohiohealth Corporation Current Accepting new patients
Blanchard Valley Regional Health Center CurrentSince May 18, 2021 Accepting new patients
Ohiohealth Corporation CurrentSince Dec 1, 2021 Accepting new patients
Blanchard Valley Regional Health Center CurrentSince May 18, 2021 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

950 W Wooster St
Bowling Green, OH 43402
Phone (419) 354-8900

111 S Grant Ave
Columbus, OH 43215
Phone (614) 461-3232

Dept L3652
Columbus, OH 43260

393 E Town St
Ste 116
Columbus, OH 43215
Phone (614) 566-9108

1900 S Main St
Findlay, OH 45840
Phone (419) 423-4500

921 E Franklin St
Kenton, OH 43326
Phone (419) 673-0761

Organizations & group practices 8

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 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": "1600387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641254400000",
    "number": "1336755990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9599 MILES RD",
            "city": "LA RUE",
            "state": "OH",
            "postal_code": "433329300",
            "telephone_number": "330-509-2814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 E FRANKLIN ST",
            "city": "KENTON",
            "state": "OH",
            "postal_code": "433262020",
            "telephone_number": "614-566-8883",
            "fax_number": "614-566-8149"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9599 Miles Rd",
            "address_purpose": "LOCATION",
            "city": "LA Rue",
            "state": "OH",
            "postal_code": "433329300",
            "country_code": "US",
            "telephone_number": "330-509-2814",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "DAVID",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-18",
        "last_updated": "2022-01-04",
        "certification_date": "2022-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "OH",
            "license": "LE-00032248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kenton, OH

Sources for this page

Verify at the official NPI Registry.