Shannon Miller, MSN, APNP, FNP-C
Individual provider Active NPI Family Nurse Practitioner · Schofield, WI
NPI 1346944402 · NPPES record last updated Mar 4, 2025
Key facts
- NPI
- 1346944402
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 13785-33 (WI)
- Practice address
- 900 Alderson St
Schofield, WI 54476-1488 - Phone
- (715) 393-4357
- NPI assigned
- Mar 30, 2023
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250404000298 | WI | Order and Referring Only - Family Practice |
0840714424 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science - Nursing
Interoperability endpoints
- shannon.miller.1@32839.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 13785-33 | WI | Yes |
Addresses
Primary practice location
900 Alderson St
Schofield, WI 54476-1488
Mailing address
900 Alderson St
Schofield, WI 54476-1488
Phone (715) 393-4357
Other providers in Schofield, WI
- Christina Frances Lucas
- Grace Mary Kae Manke
- Kaitlyn Elizabeth Metzig
- Michael E. Alt, D.D.S., S.C.
- Michael Allen Miller
- Mind & Body Solutions LLC
- Brenda B. Mittelsteadt
- Naonhia Moua
- Jessica Lynn Mull
- Crystal Ann Neal
All providers in Schofield, WI · Family Nurse Practitioner in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 4, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.