Individual provider Active NPI

Vanessa Dawn Miller, NP-C

  • Family Nurse Practitioner
  • Versailles, KY
National Provider Identifier
1346562485
Registry record updated Mar 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3006241 Issued in KY
Practice address
525 Marsailles Rd
Versailles, KY 40383-1911
Phone
(859) 297-1072
NPI assigned
Feb 16, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 1107307 KY
Family Nurse Practitioner 363LF0000X 3006241 KY Primary

Addresses

Primary practice location

525 Marsailles Rd
Versailles, KY 40383-1911

Mailing address

525 Marsailles Rd
Versailles, KY 40383-1911
Phone (859) 297-1072

Other names 1

  • Miss Vanessa Dawn Greene Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20110322000150 KY Practitioner - Nurse Practitioner 8123201654 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Kentucky College of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kiosk Medicine Kentucky LLCGroup PAC ID 6002887510, 169 clinicians

Practice addresses (Care Compare)

106 Market Place Cir
Georgetown, KY 40324-7400
Phone (502) 868-6736

1600 Leestown Rd
Suite 150
Lexington, KY 40511-2136
Phone (859) 259-4890

212 Kroger Way
Versailles, KY 40383-1991
Phone (859) 297-1072

302 Brighton Park Blvd S
Frankfort, KY 40601-3713
Phone (502) 848-5904

3039 Breckenridge LN
Louisville, KY 40220-2101
Phone (502) 451-4555

3101 Richmond Rd
Lexington, KY 40509-1599
Phone (859) 268-9866

Merit-based Incentive Payment System (MIPS)

Final score
83.72 of 100Reported as group
Quality
66.02
Promoting interoperability
100
Improvement activities
40
Cost
79.72

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1107307KYMDRegistered Nurse
3006241KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kiosk Medicine Kentucky LLC Family CurrentSince Apr 9, 2012 Accepting new patients

Locations

3039 Breckenridge Ln
Louisville, KY 40220
Phone (502) 451-4555

525 Marsailles Rd
Versailles, KY 40383
Phone (859) 297-1072

Interoperability endpoints

  • Direct secure messaging: vanessa.miller@krogerhealth.eclinicaldirectplus.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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1266278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393804800000",
    "number": "1346562485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 MARSAILLES RD",
            "city": "VERSAILLES",
            "state": "KY",
            "postal_code": "403831911",
            "telephone_number": "859-297-1072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 MARSAILLES RD",
            "city": "VERSAILLES",
            "state": "KY",
            "postal_code": "403831911",
            "telephone_number": "859-297-1072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "VANESSA",
        "middle_name": "DAWN",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-02-16",
        "last_updated": "2014-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "KY",
            "license": "1107307",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3006241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VANESSA",
            "last_name": "GREENE",
            "middle_name": "DAWN",
            "prefix": "MISS",
            "credential": "NP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Versailles, KY

Sources for this page

Verify at the official NPI Registry.