Tina Rena Miller, MSN APRN NP-C

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

17269 Issued in TN

Practice address

8510 Wilkinsville Rd Ste 104
Millington, TN 38053-1538

Phone

(901) 872-3114

NPI assigned

Jan 31, 2013

Last updated

Apr 26, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

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

Specialty

Nurse Practitioner

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Brownsville Medical Clinic, P.a.Group PAC ID 0547339772, 61 clinicians

BH Services Southeast 1 PCGroup PAC ID 7012457054, 96 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Extendicare Home Health of West TN Home health agency, Dyersburg, TN, CCN 447284
• Amedisys Home Health Care Home health agency, Jackson, TN, CCN 447278
• Jackson-Madison County General Hospital Hospital, Jackson, TN, CCN 440002
• Dyersburg Regional Medical Center Hospital, Dyersburg, TN, CCN 440072

Merit-based Incentive Payment System (MIPS)

Final score

95.74 of 100Reported as apm

Quality

85.23

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

State licenses

Practice roles

Locations

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.

• BH Services Southeast 1 PC

  • Nurse Practitioner
  • Brownsville, TN
  • NPI 1164251526
  Medicare reassignment Care Compare group NPD
• Ipc Pac Healthcare Services of Tennessee PC

  • Internal Medicine Physician
  • Bristol, TN
  • NPI 1104277656
  Medicare reassignment NPD
• West Tennessee Medical Group Inc

  • Internal Medicine Physician
  • Jackson, TN
  • NPI 1053615955
  Medicare reassignment NPD
• CS Pacs 3 Southeast, LLC

  • Hospitalist Physician
  • Bluefield, WV
  • NPI 1154104958

  TN

  Medicare reassignment NPD
• NV Pacs 2 LLC

  • Hospitalist Physician
  • Las Vegas, NV
  • NPI 1427534809

  TN

  Medicare reassignment NPD
• BH Services Southeast 1 PC

  dba Medical Clinic of Alamo

  • Rural Health Clinic/Center
  • Alamo, TN
  • NPI 1568200806
  NPD (past)
• Healthcare Network Tennessee, Inc.

  • Neurological Surgery Physician
  • Memphis, TN
  • NPI 1932708054
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Dyersburg Health

  dba Dyersburg Employee Pharmacy

  • Community/Retail Pharmacy
  • Dyersburg, TN
  • NPI 1043282338

  Hospital

  Care Compare affiliation
• HHC, LLC

  dba Amedisys Home Health Care

  • Home Health Agency
  • Jackson, TN
  • NPI 1851349559
  Care Compare affiliation
• Jackson Madison County General Hospital

  • General Acute Care Hospital
  • Jackson, TN
  • NPI 1093705428
  Care Compare affiliation
• Lifeline of West Tennessee, LLC

  dba Extendicare Home Health of West Tennessee

  • Home Health Agency
  • Dyersburg, TN
  • NPI 1821288572
  Care Compare affiliation

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

{
    "created_epoch": "1359590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524700800000",
    "number": "1407195159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8510 WILKINSVILLE RD",
            "address_2": "SUITE 104",
            "city": "MILLINGTON",
            "state": "TN",
            "postal_code": "380531537",
            "telephone_number": "901-872-3114",
            "fax_number": "855-816-9602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8510 WILKINSVILLE RD STE 104",
            "city": "MILLINGTON",
            "state": "TN",
            "postal_code": "380531538",
            "telephone_number": "901-872-3114"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "452 Perkins Ext",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381173808",
            "country_code": "US",
            "telephone_number": "901-888-2646",
            "fax_number": "901-888-2647",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5780 Airline Rd Ste 112",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "TN",
            "postal_code": "380025982",
            "country_code": "US",
            "telephone_number": "901-430-9418",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7243 Highway 64",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "TN",
            "postal_code": "380603403",
            "country_code": "US",
            "telephone_number": "901-465-2227",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8025 US Highway 64 Ste 101",
            "address_purpose": "LOCATION",
            "city": "Bartlett",
            "state": "TN",
            "postal_code": "381334038",
            "country_code": "US",
            "telephone_number": "901-382-2044",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8507 US Highway 51 N Ste 107",
            "address_purpose": "LOCATION",
            "city": "Millington",
            "state": "TN",
            "postal_code": "380531535",
            "country_code": "US",
            "telephone_number": "901-873-2555",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1022 N Germantown Pkwy",
            "address_purpose": "LOCATION",
            "city": "Cordova",
            "state": "TN",
            "postal_code": "380185892",
            "country_code": "US",
            "telephone_number": "901-254-8500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5142 Stage Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Bartlett",
            "state": "TN",
            "postal_code": "381343164",
            "country_code": "US",
            "telephone_number": "901-382-2040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "TINA",
        "middle_name": "RENA",
        "name_prefix": "Mrs.",
        "credential": "MSN APRN NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-31",
        "last_updated": "2018-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TN",
            "license": "17269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William L Medlock, HIPAA TAXONOMY 246Z0
• Melton Telepsychiatry Services
• Memphis Vamc
• Nadia Menard, PT
• Mid South Wellness Center, Inc
• Millington Family Medicine, Inc.
• Millington Opco LP (Millington Health Care Center)
• Millington Pediatrics, PC
• Tamara Jonee Mitchell, PHARM.D.
• Cailey Ruth Mokry, OD

• Adult Health Nurse Practitioner in Millington, TN
• Providers in Millington, TN by specialty
• Adult Health Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.