Individual provider Active NPI

Heather Miller, FNP

  • Family Nurse Practitioner
  • Cape Girardeau, MO
National Provider Identifier
1396072120
Registry record updated Feb 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2009034583 Issued in MO
Practice address
2116 Megan Drive
Suite 102
Cape Girardeau, MO 63701
Phone
(573) 335-7546
Fax
(573) 335-7550
NPI assigned
Nov 16, 2009
Last updated
Feb 4, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2015

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 2009034583 MO Primary

Addresses

Primary practice location

2116 Megan Drive
Suite 102
Cape Girardeau, MO 63701

Mailing address

2116 Megan Drive
102
Cape Girardeau, MO 63701-1727
Phone (573) 335-7546

Other identifiers 1

IdentifierTypeStateIssuer
1396072120MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20100604000255 MO Practitioner - Nurse Practitioner 0547399339 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Dermatology of Southeast Missouri PCGroup PAC ID 3678612108, 9 clinicians

Practice addresses (Care Compare)

2116 Megan Dr
Suite 102
Cape Girardeau, MO 63701-1727

2116 Megan Dr
Suite 102
Cape Girardeau, MO 63701-1979
Phone (573) 335-7546

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

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

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Dermatology of Southeast Missouri PC CurrentSince May 1, 2010 Accepting new patients
Neurologic Associates of Cape Girardeau, Inc PastSince Dec 31, 1991 Accepting new patients

Locations

1359 N Mount Auburn Rd
Cpe Girardeau, MO 63701
Phone (573) 335-7546

2116 Megan Dr
Ste 102
Cpe Girardeau, MO 63701
Phone (573) 335-7546

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1258329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423008000000",
    "number": "1396072120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2116 MEGAN DRIVE",
            "address_2": "102",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637011727",
            "telephone_number": "573-335-7546",
            "fax_number": "573-335-7550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2116 MEGAN DRIVE",
            "address_2": "SUITE 102",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "63701",
            "telephone_number": "573-335-7546",
            "fax_number": "573-335-7550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "HEATHER",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-16",
        "last_updated": "2015-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2009034583",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1396072120",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Girardeau, MO

Sources for this page

Verify at the official NPI Registry.