Active NPI
Lisa Ann Miller, PA
- Physician Assistant
- Vero Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9102983
- Practice address
- 1000 36TH St
Vero Beach, FL 32960-4862 - Phone
- (772) 567-4311
- NPI assigned
- Mar 14, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA9102983 | FL | Primary |
Addresses
Primary practice location
1000 36TH St
Vero Beach, FL 32960-4862
Mailing address
200 Corporate Blvd
Lafayette, LA 70508-3870
Phone (800) 893-9698
Other practice location 1
13695 US Highway 1
Sebastian, FL 32958-3230
Phone (772) 589-3186
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1700 S 23Rd St
Fort Pierce, FL 34950-4803
Phone (772) 462-4100
1825 SE Tiffany Ave
Port Saint Lucie, FL 34952-7554
Phone (772) 335-4000
2402 Frist Blvd
Fort Pierce, FL 34950-4838
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Steward Medical Group, Inc | Current | Accepting new patients | |
| Steward Medical Group, Inc. | Current | Accepting new patients | |
| Emergency Medicine Associates Inc | Past | Accepting new patients | |
| Physician Assistant Services of the Treasure Coast | Past | Accepting new patients | |
| Stewart and Stewart a Medical Corporation | Past | Accepting new patients | |
| Palm Beach General Surgery LLC | Past | Accepting new patients | |
| Pelican Coast Emergency Physicians LLC | Past | Accepting new patients |
Locations
250 N Wickham Rd
Melbourne, FL 32935
Phone (321) 637-2600
13695 US Highway 1
Sebastian, FL 32958
Phone (772) 589-3185
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Organizations & group practices 10
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.
-
- Surgery Physician
- Loxahatchee, FL
- NPI 1235326760
-
- Emergency Medicine Physician
- Melbourne, FL
- NPI 1932562915
-
- Emergency Medicine Physician
- Sebring, FL
- NPI 1558630152
-
- Surgical Physician Assistant
- Vero Beach, FL
- NPI 1043475593
-
- Urology Physician
- Cocoa, FL
- NPI 1104367630
-
- Emergency Medicine Physician
- Vero Beach, FL
- NPI 1366437386
-
- Surgery Physician
- Atlantis, FL
- NPI 1710040266
-
- Emergency Medicine Physician
- Sebastian, FL
- NPI 1306926241
-
dba Stewart Medical Group
- Family Medicine Physician
- Alhambra, CA
- NPI 1306058565
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba HCA Florida Lawnwood Hospital
- General Acute Care Hospital
- Fort Pierce, FL
- NPI 1568409647
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584057600000",
"number": "1407824675",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 CORPORATE BLVD",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705083870",
"telephone_number": "800-893-9698"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 36TH ST",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "329604862",
"telephone_number": "772-567-4311"
}
],
"practiceLocations": [
{
"address_1": "13695 US Highway 1",
"address_purpose": "LOCATION",
"city": "Sebastian",
"state": "FL",
"postal_code": "329583230",
"country_code": "US",
"telephone_number": "772-589-3186",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MILLER",
"first_name": "LISA",
"middle_name": "ANN",
"credential": "PA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-03-14",
"last_updated": "2020-03-13",
"certification_date": "2020-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9102983",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vero Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2020; 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.