Active NPI
Kathrine Annette Miller, CRNA
- Certified Registered Nurse Anesthetist
- Anderson, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 28208434A
- Practice address
- 1515 N Madison Ave
Anderson, IN 46011 - Phone
- (765) 298-2928
- NPI assigned
- Mar 25, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 209008642 | IL | |
| Certified Registered Nurse Anesthetist | 367500000X | 28208434A | IN | Primary |
| Certified Registered Nurse Anesthetist | 367500000X | COA.12151-NA | OH |
Addresses
Primary practice location
1515 N Madison Ave
Anderson, IN 46011
Mailing address
8051 S Emerson Ave Ste 200
Indianapolis, IN 46237-8632
Phone (317) 865-2955
Other practice location 1
2651 E Discovery Pkwy
Bloomington, IN 47408-9059
Phone (812) 345-8188
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P01824509 | Other | IN | RR MEDICARE |
| 201262850 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- University of Cincinnati College of Medicine, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2651 E Discovery Pkwy
Bloomington, IN 47408-9059
Phone (812) 353-9147
8051 S Emerson Ave
150 Sedation Services of Indiana LLC
Indianapolis, IN 46237-8635
Phone (317) 865-2955
Hospital & facility affiliations
- Indiana University Health Bloomington Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209008642 | IL | MD | Certified Registered Nurse Anesthetist |
| 28208434A | IN | MD | Certified Registered Nurse Anesthetist |
| COA.12151-NA | OH | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Physicians of Indiana Inc | Current | Accepting new patients | |
| Bloomington Anesthesiologists PC | Current | Accepting new patients | |
| Community Physicians of Indiana Inc | Current | Accepting new patients | |
| Midwest Gastroenterology LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| University Anesthesiologists SC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
5819 Reliable Pkwy
Chicago, IL 60686
1515 N Madison Ave
Anderson, IN 46011
Phone (317) 870-0488
2651 E Discovery Pkwy
Bloomington, IN 47408
Phone (812) 353-9147
8051 S Emerson Ave
Ste 200
Indianapolis, IN 46237
6626 E 75th St
Ste 500
Indianapolis, IN 46250
Phone (317) 621-7547
8051 S Emerson Ave
Ste 150
Indianapolis, IN 46237
Phone (317) 857-4024
7120 Clearvista Dr
Ste 4000
Indianapolis, IN 46256
Phone (317) 621-7444
Organizations & group practices 5
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.
-
- Anesthesiology Physician
- Bloomington, IN
- NPI 1912951054
-
- Anesthesiology Physician
- Indianapolis, IN
- NPI 1528550241
Nurse Anesthetist, Certified Registered
-
- Family Medicine Physician
- Indianapolis, IN
- NPI 1619105244
-
- Endocrinology, Diabetes & Metabolism Physician
- Carmel, IN
- NPI 1992396337
-
- Anesthesiology Physician
- Chicago, IL
- NPI 1073558136
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bloomington, IN
- NPI 1205860335
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301011200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675036800000",
"number": "1447559786",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8051 S EMERSON AVE STE 200",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462378632",
"telephone_number": "317-865-2955"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1515 N MADISON AVE",
"city": "ANDERSON",
"state": "IN",
"postal_code": "46011",
"telephone_number": "765-298-2928"
}
],
"practiceLocations": [
{
"address_1": "2651 E Discovery Pkwy",
"address_purpose": "LOCATION",
"city": "Bloomington",
"state": "IN",
"postal_code": "474089059",
"country_code": "US",
"telephone_number": "812-345-8188",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MILLER",
"first_name": "KATHRINE",
"middle_name": "ANNETTE",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-03-25",
"last_updated": "2023-01-30",
"certification_date": "2023-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IL",
"license": "209008642",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IN",
"license": "28208434A",
"primary": true
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OH",
"license": "COA.12151-NA",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P01824509",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201262850",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Anderson, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.