Individual provider Active NPI

Emily Rose Miller, FNP-C

  • Family Nurse Practitioner
  • Novi, MI
National Provider Identifier
1396527412
Registry record updated Oct 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704355260 Issued in MI
Practice address
39555 W 10 Mile Rd Ste 301
Novi, MI 48375-2950
Phone
(248) 426-9680
NPI assigned
Oct 16, 2023
Last updated
Oct 16, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2023

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 4704355260 MI Primary

Addresses

Primary practice location

39555 W 10 Mile Rd Ste 301
Novi, MI 48375-2950

Mailing address

2105 Harwood Ave
Royal Oak, MI 48067-4070
Phone (419) 206-8015

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240206001390 MI Practitioner - Family Practice 1153764253 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Henry Ford Urgent CareGroup PAC ID 6901296110, 111 clinicians
Primecare Urgent Care PLLCGroup PAC ID 7719115476, 5 clinicians

Practice addresses (Care Compare)

27897 Woodward Ave
Berkley, MI 48072-0907
Phone (248) 397-6196

39555 W 10 Mile Rd
Suite 301
Novi, MI 48375-2950
Phone (248) 426-7200

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Primecare Urgent Care PLLC CurrentSince Jan 2, 2024 Accepting new patients
Henry Ford Urgent Care CurrentSince Apr 1, 2025 Accepting new patients

Locations

27897 Woodward Ave
Berkley, MI 48072
Phone (248) 397-6196

15717 15 Mile Rd
Clinton Twp, MI 48035
Phone (586) 285-3800

39555 W 10 Mile Rd
Ste 301
Novi, MI 48375
Phone (248) 426-7200

Interoperability endpoints

  • Direct secure messaging: emiller1093142@direct.hfhs.org
  • Direct secure messaging: emily.miller.1@27910.direct.athenahealth.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1697414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697414400000",
    "number": "1396527412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2105 HARWOOD AVE",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480674070",
            "telephone_number": "419-206-8015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39555 W 10 MILE RD STE 301",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483752950",
            "telephone_number": "248-426-9680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "EMILY",
        "middle_name": "ROSE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-16",
        "last_updated": "2023-10-16",
        "certification_date": "2023-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704355260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Novi, MI

Sources for this page

Verify at the official NPI Registry.