Individual provider Active NPI

Sandra Marie Miller, CRNP

  • Family Nurse Practitioner
  • Bethel Park, PA
National Provider Identifier
1346834447
Registry record updated Mar 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP023328 Issued in PA
Practice address
2000 Oxford Dr Ste 420
Bethel Park, PA 15102-1841
Phone
(412) 942-8500
Fax
(412) 942-8519
NPI assigned
Mar 1, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP023328 PA Primary

Addresses

Primary practice location

2000 Oxford Dr Ste 420
Bethel Park, PA 15102-1841

Mailing address

2000 Oxford Dr Ste 420
Bethel Park, PA 15102-1841
Phone (412) 942-8500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, WV2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20211021001043 PA Practitioner - Nurse Practitioner 8022406289 Reassigns benefits to 1 organization
I20260216000257 WV Practitioner - Nurse Practitioner 8022406289 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2555 Park Ave
Washington, PA 15301-8145

424 Church St
Nashville, TN 37219-2301

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St Clair Medical Services Inc CurrentSince Jul 22, 2021 Accepting new patients
St Clair Medical Services Inc CurrentSince Jul 22, 2021 Accepting new patients
Matrix Medical Plus CurrentSince Feb 1, 2026 Accepting new patients
St Clair Medical Services, Inc. Current Accepting new patients
Personal Care Medical Associates, LLC Past Accepting new patients

Locations

9201 E Mountain View Rd
Ste 220
Scottsdale, AZ 85258
Phone (480) 862-1883

2000 Oxford Dr
Ste 420
Bethel Park, PA 15102
Phone (412) 279-5372

1000 Bower Hill Rd
Pittsburgh, PA 15243
Phone (412) 344-6600

209 Washington St W
Charleston, WV 25302
Phone 24852821166

Organizations & group practices 5

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": "1614556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614556800000",
    "number": "1346834447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 OXFORD DR STE 420",
            "city": "BETHEL PARK",
            "state": "PA",
            "postal_code": "151021841",
            "telephone_number": "412-942-8500",
            "fax_number": "412-942-8519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 OXFORD DR STE 420",
            "city": "BETHEL PARK",
            "state": "PA",
            "postal_code": "151021841",
            "telephone_number": "412-942-8500",
            "fax_number": "412-942-8519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "SANDRA",
        "middle_name": "MARIE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-01",
        "last_updated": "2021-03-01",
        "certification_date": "2021-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP023328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethel Park, PA

Sources for this page

Verify at the official NPI Registry.