Organization Active NPI

Miller Family Healthcare LLC

  • Family Nurse Practitioner
  • Moorefield, WV
National Provider Identifier
1356873558
Registry record updated Jan 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
58804 Issued in WV
Legal business name
MILLER FAMILY HEALTHCARE LLC
Practice address
206 Jackson St
Moorefield, WV 26836-1287
Phone
(304) 530-5980
Fax
(304) 530-5981
NPI assigned
Mar 28, 2017
Last updated
Jan 19, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2024

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

Authorized official

Name
Stephanie Selena Miller, NP-CNPI 1659635167
Title
Nurse Practitioner
Phone
(304) 530-5980

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 58804 WV Primary

Addresses

Primary practice location

206 Jackson St
Moorefield, WV 26836-1287

Mailing address

206 Jackson St
Moorefield, WV 26836-1287
Phone (304) 530-5980

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170928001672 WV Part B Supplier - Clinic/Group Practice 4385918465 Receives reassigned benefits from 3 practitioners
Practice locations: Moorefield, WV

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
51D2128827Miller Family Healthcare, LLC206 Jackson Avenue, Moorefield, WV 26836Certificate of waiverApr 6, 2027

National Provider Directory

National Provider Directory

Locations

206 Jackson St
Moorefield, WV 26836
Phone (304) 530-5980

712 N Main St
Ste 201
Moorefield, WV 26836
Phone (304) 530-4999

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15954/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1490659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705622400000",
    "number": "1356873558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 JACKSON ST",
            "city": "MOOREFIELD",
            "state": "WV",
            "postal_code": "268361287",
            "telephone_number": "304-530-5980",
            "fax_number": "304-530-5981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 JACKSON ST",
            "city": "MOOREFIELD",
            "state": "WV",
            "postal_code": "268361287",
            "telephone_number": "304-530-5980",
            "fax_number": "304-530-5981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLER FAMILY HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-28",
        "last_updated": "2024-01-19",
        "certification_date": "2024-01-19",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "SELENA",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "304-530-5980",
        "authorized_official_credential": "NP-C"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "58804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moorefield, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.