Marcia D Price-Miller, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

M6967 Issued in ID

Practice address

100 Cottonwood CT
Suite 150
Eagle, ID 83616-6545

Phone

(208) 841-5965

Fax

(208) 939-5888

NPI assigned

Mar 29, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jul 1, 2018 through Jul 1, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: marcia.price-miller@97471432491012.direct.elationemr.com

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.

• Clinic at Eagle LLC

  • Family Medicine Physician
  • Eagle, ID
  • NPI 1306807441
  NPD (past)
• Saint Alphonsus Regional Medical Center Inc

  • Psychiatric Hospital Unit
  • Boise, ID
  • NPI 1770687857
  NPD (past)

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

{
    "created_epoch": "1143590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581379200000",
    "number": "1376504498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5999 W STATE ST STE B",
            "city": "GARDEN CITY",
            "state": "ID",
            "postal_code": "837035059",
            "telephone_number": "208-841-5965",
            "fax_number": "208-939-5888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 COTTONWOOD CT",
            "address_2": "SUITE 150",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836166545",
            "telephone_number": "208-841-5965",
            "fax_number": "208-939-5888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRICE-MILLER",
        "first_name": "MARCIA",
        "middle_name": "D",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-29",
        "last_updated": "2020-02-11",
        "certification_date": "2020-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "M6967",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "000010140318",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "51276",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003874400",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stacie Spiker Pierson, OTR/L
• Baylee May Poole
• Miles Poole, OD
• Power Basin Therapy LLC (Healing Hearts Home Health Outpatient Therapy)
• Preventative Health
• Jared Prince, PT
• Benjamin Prinzing
• Alexandra Purcell
• Purpose Driven Chiropractic PC
• Christian Putegnat

• Family Medicine Physician in Eagle, ID
• Providers in Eagle, ID by specialty
• Family Medicine Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.