Individual provider Active NPI

Erica Nicole Miller, MSN, APRN, FNP-C

  • Family Nurse Practitioner
  • Richmond, IN
National Provider Identifier
1417580812
Registry record updated Feb 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F02200435 Issued in IN
Practice address
498 NW 18TH St
Richmond, IN 47374-2851
Phone
(765) 966-0511
NPI assigned
Feb 14, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2020

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 F02200435 IN Primary

Addresses

Primary practice location

498 NW 18TH St
Richmond, IN 47374-2851

Mailing address

4505 S Mt Zion Rd
Connersville, IN 47331-8990
Phone (765) 541-2858

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Erica.Miller2@fssa.IN.gov 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
I20200820000775 IN Practitioner - Nurse Practitioner 8527484534 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
F02200435INMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
State of Indiana - Auditor of State CurrentSince Jul 1, 2020 Accepting new patients
State of Indiana, Auditor of State CurrentSince Jul 1, 2020 Accepting new patients
State of Indiana, Auditor of State Current Accepting new patients

Locations

498 NW 18th St
Richmond, IN 47374
Phone (765) 966-0511

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1581638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581638400000",
    "number": "1417580812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4505 S MT ZION RD",
            "city": "CONNERSVILLE",
            "state": "IN",
            "postal_code": "473318990",
            "telephone_number": "765-541-2858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "498 NW 18TH ST",
            "city": "RICHMOND",
            "state": "IN",
            "postal_code": "473742851",
            "telephone_number": "765-966-0511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "ERICA",
        "middle_name": "NICOLE",
        "credential": "MSN, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-14",
        "last_updated": "2020-02-14",
        "certification_date": "2020-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "F02200435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Erica.Miller2@fssa.IN.gov",
            "affiliation": "N",
            "endpointDescription": "State Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "498 NW 18th St",
            "city": "Richmond",
            "state": "IN",
            "country_code": "US",
            "postal_code": "473742851",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Richmond, IN

Sources for this page

Verify at the official NPI Registry.