Individual provider Active NPI

Terri A Webber Miller, NP

  • Nurse Practitioner
  • Englewood, CO
National Provider Identifier
1376992818
Registry record updated Jan 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APN.0992243 Issued in CO
Practice address
10700 E Geddes Ave
Suite 200
Englewood, CO 80112-3800
Phone
(303) 761-9190
Fax
(720) 874-4462
NPI assigned
Jun 6, 2016
Last updated
Jan 19, 2024By the provider in NPPES
Sex
Female
Sole proprietor
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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APN.0992243 CO Primary

Addresses

Primary practice location

10700 E Geddes Ave
Suite 200
Englewood, CO 80112-3800

Mailing address

10700 E Geddes Ave
Suite 200
Englewood, CO 80112-3800
Phone (303) 761-9190

Other practice location 1

606 W Pershing Rd
Decatur, IL 62526-1604
Phone (217) 877-7171

Other identifiers 1

IdentifierTypeStateIssuer
32950063MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20230109001094 IL Practitioner - Nurse Practitioner 5496046609 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pinnacle Dermatology SCGroup PAC ID 8628353380, 145 clinicians

Practice addresses (Care Compare)

1124 Essington Rd
Suite a
Joliet, IL 60435-8442
Phone (815) 744-8554

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
89.8 of 100Reported as group
Promoting interoperability
88
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN.0992243COMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology and Mohs Surgery Institute, LTD. CurrentSince Sep 28, 2022 Accepting new patients
Pinnacle Dermatology, SC Nurse Practitioner CurrentSince Mar 3, 2024 Accepting new patients
Radiology Imaging of Nebraska, LLC Past Accepting new patients
Dermatology and Plastic Surgery Associates, S.C. Past Accepting new patients

Locations

1 Saint Anthonys Way
Alton, IL 62002
Phone (618) 233-6870

3024 E Empire St
Ste E
Bloomington, IL 61704

303 N Hershey Rd
Bloomington, IL 61704
Phone (309) 268-2025

606 W Pershing Rd
Decatur, IL 62526
Phone (217) 877-7171

1124 Essington Rd
Ste A
Joliet, IL 60435

820 Springer Dr
Lombard, IL 60148
Phone (708) 634-4602

5141 Virginia Way
Ste 350
Brentwood, TN 37027

Interoperability endpoints

  • Direct secure messaging: tschaber@dermandmohs.emadirect.md

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 2

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": "1465171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705622400000",
    "number": "1376992818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10700 E GEDDES AVE",
            "address_2": "SUITE 200",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801123800",
            "telephone_number": "303-761-9190",
            "fax_number": "720-874-4462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10700 E GEDDES AVE",
            "address_2": "SUITE 200",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801123800",
            "telephone_number": "303-761-9190",
            "fax_number": "720-874-4462"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "606 W Pershing Rd",
            "address_purpose": "LOCATION",
            "city": "Decatur",
            "state": "IL",
            "postal_code": "625261604",
            "country_code": "US",
            "telephone_number": "217-877-7171",
            "fax_number": "217-877-7481",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEBBER MILLER",
        "first_name": "TERRI",
        "middle_name": "A",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-06",
        "last_updated": "2024-01-19",
        "certification_date": "2024-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "APN.0992243",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32950063",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, CO

Sources for this page

Verify at the official NPI Registry.