Individual provider Active NPI

Liang Lu Miller

  • Family Nurse Practitioner
  • Bloomington, IN
National Provider Identifier
1396316550
Registry record updated Nov 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71011567A Issued in IN
Practice address
3900 S Walnut St
Bloomington, IN 47401-7325
Phone
(812) 822-1516
NPI assigned
Jul 8, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 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 71011567A IN Primary

Addresses

Primary practice location

3900 S Walnut St
Bloomington, IN 47401-7325

Mailing address

3900 S Walnut St
Bloomington, IN 47401-7325
Phone (812) 822-1516

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL BLOOMINGTON Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20211015000980 IN Practitioner - Nurse Practitioner 3577961952 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Indiana University School of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eventus Ecs, IncGroup PAC ID 2163969650, 243 clinicians
Complexcare Medical Group Midwest H PLLCGroup PAC ID 0143737148, 128 clinicians
Theoria MedicalGroup PAC ID 5395098339, 317 clinicians

Practice addresses (Care Compare)

150 W Market St
Suite 400
Indianapolis, IN 46204-2810
Phone (855) 743-2247

155 E Burks Dr
Bloomington, IN 47401-8459
Phone (812) 332-4437

309 W Pike Ave
Petersburg, IN 47567-8755
Phone (248) 660-1220

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
71011567AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Complexcare Medical Group Midwest H PLLC CurrentSince Jul 14, 2025 Accepting new patients
Theoria Medical CurrentSince Jun 27, 2022 Accepting new patients
Saanvi Group LLC PastSince Sep 1, 2021 Accepting new patients
Theoria Medical Past Accepting new patients
Complexcare Medical Group Midwest M PLLC Past Accepting new patients

Locations

514 16th St
Bedford, IN 47421
Phone (812) 279-2001

155 E Burks Dr
Bloomington, IN 47401
Phone (812) 322-4437

501 S Murphy Ave
Brazil, IN 47834
Phone (812) 442-0403

816 N 1st Ave
Evansville, IN 47710
Phone (812) 426-2841

745 N Swope St
Greenfield, IN 46140
Phone (317) 462-9221

2860 Churchman Ave
Indianapolis, IN 46203
Phone (317) 787-3451

7145 E 21st St
Indianapolis, IN 46219
Phone (317) 356-0977

2905 W Sycamore St
Kokomo, IN 46901
Phone (765) 452-5491

1700 I St
Laporte, IN 46350
Phone (219) 362-6234

1900 Andrew Ave
Laporte, IN 46350
Phone (219) 362-6234

8800 Virginia Pl
Merrillville, IN 46410
Phone (219) 736-1310

811 E 12th St
Mishawaka, IN 46544
Phone (574) 249-1917

609 Tanglewood Ln
Mishawaka, IN 46545
Phone (574) 277-2500

309 W Pike Ave
Petersburg, IN 47567
Phone (812) 354-8833

3175 Lancer St
Portage, IN 46368
Phone (219) 762-9571

1042 Oak Dr
Richmond, IN 47374
Phone (765) 766-7788

2330 Straightline Pike
Richmond, IN 47374
Phone (765) 966-7681

400 Industries Rd
Richmond, IN 47374
Phone (765) 935-0135

402 19th St
Tell City, IN 47586
Phone (812) 547-3427

251 Sturdy Rd
Valparaiso, IN 46383
Phone (219) 462-6158

401 E 20th St
Covington, KY 41014
Phone (859) 283-6600

3876 Turkeyfoot Rd
Erlanger, KY 41018
Phone (502) 525-6511

100 Carmel Manor Dr
Fort Thomas, KY 41075
Phone (859) 781-5111

2344 Amsterdam Rd
Villa Hills, KY 41017
Phone (859) 341-3981

41800 W 11 Mile Rd
Ste 109
Novi, MI 48375
Phone (833) 578-2763

Organizations & group practices 7

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 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": "1625702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636070400000",
    "number": "1396316550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 S WALNUT ST",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474017325",
            "telephone_number": "812-822-1516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 S WALNUT ST",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474017325",
            "telephone_number": "812-822-1516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "LIANG",
        "middle_name": "LU",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-08",
        "last_updated": "2021-11-05",
        "certification_date": "2021-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71011567A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "BLOOMINGTON",
            "affiliation": "N",
            "endpointDescription": "current",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "7200 W Drift Ct",
            "city": "Bloomington",
            "state": "IN",
            "country_code": "US",
            "postal_code": "474048814",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bloomington, IN

Sources for this page

Verify at the official NPI Registry.