Shauna Renee Miller, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

5601006844 Issued in MI

Practice address

G-3375 S Saginaw St
Burton, MI 48529

Phone

(810) 743-6830

Fax

(810) 234-7068

NPI assigned

Dec 4, 2013

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 MI

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

Physician Assistant

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hamilton Community Health Network IncGroup PAC ID 1254249196, 48 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: shauna.miller.1@25862.direct.athenahealth.com

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.

• Hamilton Community Health Network Inc.

  • Federally Qualified Health Center (FQHC)
  • Flint, MI
  • NPI 1386624278
  Medicare reassignment Care Compare group NPD
• Hamilton Community Health Network, Inc.

  • Federally Qualified Health Center (FQHC)
  • Burton, MI
  • NPI 1639997257
  NPD

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

{
    "created_epoch": "1386115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550016000000",
    "number": "1427489293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 E 5TH ST STE 300",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485021641",
            "telephone_number": "810-406-4941",
            "fax_number": "810-234-7068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "G-3375 S SAGINAW ST",
            "city": "BURTON",
            "state": "MI",
            "postal_code": "48529",
            "telephone_number": "810-743-6830",
            "fax_number": "810-234-7068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "SHAUNA",
        "middle_name": "RENEE",
        "name_prefix": "Miss",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-04",
        "last_updated": "2019-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601006844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mid Michigan Diagnostic Corp
• Benjamin C Miller, DO
• David Junior Miller Jr.
• Dori'Asia Miller
• Phillip Dwayne Miller II, DPT
• Jessica Milobar, MS, LLP, BCBA, LBA
• Roger Mims Jr.
• Ardelia Mincey
• Ciera Marquel Mitchell
• Devonia Kaye Mitchell

• Physician Assistant in Burton, MI
• Providers in Burton, MI by specialty
• Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2019; 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.