Individual provider Active NPI

Stevie Marie Miller

  • Family Nurse Practitioner
  • Chubbuck, ID
National Provider Identifier
1366107245
Registry record updated Nov 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
70461 Issued in ID
Practice address
5274 Kymball Dr
Chubbuck, ID 83202-4712
Phone
(208) 240-8137
NPI assigned
Nov 4, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 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 70461 ID Primary

Addresses

Primary practice location

5274 Kymball Dr
Chubbuck, ID 83202-4712

Mailing address

5274 Kymball Dr
Chubbuck, ID 83202-4712
Phone (208) 240-8137

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
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
I20220825000866 ID Practitioner - Nurse Practitioner 1658755699 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Finding Home Healthcare, Inc.Group PAC ID 7517248537, 17 clinicians

Practice addresses (Care Compare)

1675 E Riverside Dr
Suite 200
Eagle, ID 83616-7473
Phone (888) 253-6598

Hospital & facility affiliations

  • Symbii Home Health Home health agency, Chubbuck, ID, CCN 137110
  • Enhabit Home Health of Eastern Idaho Home health agency, Idaho Falls, ID, CCN 137105
  • Enhabit Home Health of Idaho Home health agency, Twin Falls, ID, CCN 137100
  • Power County Hospital District Hospital, American Falls, ID, CCN 131304
  • Portneuf Medical Center Hospital, Pocatello, ID, CCN 130028

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Finding Home Healthcare, Inc. CurrentSince Jul 11, 2022 Accepting new patients
Finding Home Healthcare, Inc. CurrentSince Jul 11, 2022 Accepting new patients

Locations

1675 E Riverside Dr
Ste 200
Eagle, ID 83616
Phone (208) 401-1048

1916 N 700 W
Ste 110
Layton, UT 84041
Phone (801) 444-0221

Organizations & group practices 2

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 6

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": "1635984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635984000000",
    "number": "1366107245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5274 KYMBALL DR",
            "city": "CHUBBUCK",
            "state": "ID",
            "postal_code": "832024712",
            "telephone_number": "208-240-8137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5274 KYMBALL DR",
            "city": "CHUBBUCK",
            "state": "ID",
            "postal_code": "832024712",
            "telephone_number": "208-240-8137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "STEVIE",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-04",
        "last_updated": "2021-11-04",
        "certification_date": "2021-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "70461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chubbuck, ID

Sources for this page

Verify at the official NPI Registry.