Individual provider Active NPI

Susan K Miller, CRNA

  • Certified Registered Nurse Anesthetist
  • Dunnellon, FL
National Provider Identifier
1376619882
Registry record updated Mar 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
ARNP21407822 Issued in FL
Practice address
5175 W Woodlawn St
Dunnellon, FL 34433-2660
Phone
(352) 465-0141
NPI assigned
Nov 27, 2006
Last updated
Mar 13, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X ARNP2140782 FL
Certified Registered Nurse Anesthetist 367500000X ARNP21407822 FL Primary

Addresses

Primary practice location

5175 W Woodlawn St
Dunnellon, FL 34433-2660

Mailing address

5175 W Woodlawn St
Dunnellon, FL 34433-2660
Phone (352) 465-0141

Other identifiers 5

IdentifierTypeStateIssuer
N146227OtherFLHTHEZ
G1271OtherFLBCBS
300884300MedicaidFL
ARNP2140782OtherFLW C
592689712OtherFLUHC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120109000135 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 9133395478 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ams National LLCGroup PAC ID 3870813025, 310 clinicians

Practice addresses (Care Compare)

6201 N Suncoast Blvd
Crystal River, FL 34428-6712
Phone (352) 795-6560

6733 Gall Blvd
Zephyrhills, FL 33542-2522
Phone (813) 783-8242

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
ARNP2140782FLMDSpecialist
36502FLMDInternal Medicine Physician
ARNP21407822FLMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Tampa General Hospital Current Accepting new patients
Ams National LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 16, 2019 Accepting new patients
Ocala Surgical Center Anesthesia Inc Specialist Past Accepting new patients
Sacher Anesthesia and Pain Management Inc Past Accepting new patients

Locations

6201 N Suncoast Blvd
Crystal River, FL 34428
Phone (352) 527-0671

6201 N Suncoast Blvd
#Seven
Crystal River, FL 34428
Phone (352) 795-4008

6002 Berryhill Rd
Milton, FL 32570
Phone (850) 474-8688

6733 Gall Blvd
Zephyrhills, FL 33542
Phone (813) 783-8242

Interoperability endpoints

  • FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
  • Direct secure messaging: smiller296723@direct.tgh.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1164585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331596800000",
    "number": "1376619882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5175 W WOODLAWN ST",
            "city": "DUNNELLON",
            "state": "FL",
            "postal_code": "344332660",
            "telephone_number": "352-465-0141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5175 W WOODLAWN ST",
            "city": "DUNNELLON",
            "state": "FL",
            "postal_code": "344332660",
            "telephone_number": "352-465-0141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "SUSAN",
        "middle_name": "K",
        "name_prefix": "Ms.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-27",
        "last_updated": "2012-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ARNP2140782",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "ARNP21407822",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HTHEZ",
            "identifier": "N146227",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "G1271",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300884300",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "W C",
            "identifier": "ARNP2140782",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC",
            "identifier": "592689712",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dunnellon, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2012; 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.