Individual provider Active NPI

Stacy Miller, CNP

  • Family Nurse Practitioner
  • Lima, OH
National Provider Identifier
1427419183
Registry record updated Oct 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.18715 Issued in OH
Practice address
770 W High St Ste 350
Lima, OH 45801-5901
Phone
(419) 228-8950
Fax
(419) 224-7904
NPI assigned
Mar 9, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2024

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 APRN.CNP.18715 OH Primary

Addresses

Primary practice location

770 W High St Ste 350
Lima, OH 45801-5901

Mailing address

770 W High St Ste 350
Lima, OH 45801-5901
Phone (419) 228-8950

Other practice location 1

2793 Shawnee Rd
Lima, OH 45806-1444
Phone (419) 227-8209 ext. 118

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20160408001021 OH Practitioner - Nurse Practitioner 6002114980 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mercy Health Physicians Lima Specialty Care LLCGroup PAC ID 7012332364, 254 clinicians

Practice addresses (Care Compare)

770 W High St
Suite 350
Lima, OH 45801-5901
Phone (419) 228-8950

Hospital & facility affiliations

  • Paulding County Hospital Hospital, Paulding, OH, CCN 361300
  • Mercy Health St Ritas Medical Center Hospital, Lima, OH, CCN 360066
  • Henry County Hospital, Inc Hospital, Napoleon, OH, CCN 361309
  • Grand Lake Health System Hospital, Saint Marys, OH, CCN 360032
  • Parkview Regional Medical Center Hospital, Fort Wayne, IN, CCN 150021

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN.CNP.18715OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Physicians Lima Specialty Care LLC Nurse Practitioner CurrentSince Aug 27, 2023 Accepting new patients
Gcga Physicians Inc. CurrentSince Oct 1, 2021 Accepting new patients
Mercy Medical Partners Northern Region Specialty Care LLC CurrentSince Apr 1, 2024 Accepting new patients
Henry County Hospital Inc CurrentSince Jun 1, 2025 Accepting new patients
Mercy Medical Partners Northern Region Specialty Care LLC Nurse Practitioner CurrentSince Apr 1, 2024 Accepting new patients
Paulding County Hospital Physician Services Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

2925 Vernon Pl
Ste 100
Cincinnati, OH 45219
Phone (513) 872-4555

1400 E 2nd St
Defiance, OH 43512
Phone (419) 784-1414

770 W High St
Ste 350
Lima, OH 45801
Phone (419) 228-8950

2793 Shawnee Rd
Lima, OH 45806
Phone (419) 204-1501

830 W High St
Ste 390
Lima, OH 45801
Phone (419) 995-4960

770 W High St
Lima, OH 45801
Phone (419) 996-5240

1600 E Riverview Ave
Napoleon, OH 43545
Phone (260) 344-3045

1600 E Riverview Ave
Ste 101
Napoleon, OH 43545
Phone (419) 592-8774

601 US Route 224
Ottawa, OH 45875
Phone (419) 228-8950

Interoperability endpoints

  • Direct secure messaging: smiller56166@direct.bsmhealth.org

Organizations & group practices 8

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 6

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": "1457481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728691200000",
    "number": "1427419183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 W HIGH ST STE 350",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458015901",
            "telephone_number": "419-228-8950",
            "fax_number": "419-224-7904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 W HIGH ST STE 350",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458015901",
            "telephone_number": "419-228-8950",
            "fax_number": "419-224-7904"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2793 Shawnee Rd",
            "address_purpose": "LOCATION",
            "city": "Lima",
            "state": "OH",
            "postal_code": "458061444",
            "country_code": "US",
            "telephone_number": "419-227-8209 x118",
            "fax_number": "419-222-6007",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "STACY",
        "name_prefix": "Mrs.",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-09",
        "last_updated": "2024-10-12",
        "certification_date": "2024-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.18715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lima, OH

Sources for this page

Verify at the official NPI Registry.