Individual provider Active NPI

Nicole Stieber Miller, NP

  • Acute Care Nurse Practitioner
  • Ann Arbor, MI
National Provider Identifier
1447766126
Registry record updated Mar 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
4704293364 Issued in MI
Practice address
1500 East Medical Center Dr
12TH Floor C.S. Mott Children'S Hosp RM 525
Ann Arbor, MI 48109-4280
Phone
(734) 764-5302
NPI assigned
Dec 18, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 4704293364NSA17497 MI
Nurse Practitioner 363L00000X 4704293364 MI
Pediatric Nurse Practitioner 363LP0200X 4704293364NSA17497 MI
Acute Care Nurse Practitioner 363LA2100X 4704293364 MI Primary

Addresses

Primary practice location

1500 East Medical Center Dr
12TH Floor C.S. Mott Children'S Hosp RM 525
Ann Arbor, MI 48109-4280

Mailing address

3621 S State St
Ann Arbor, MI 48108-1633
Phone (734) 647-5299

Other practice location 1

1411 Bedford Rd
Grosse Pointe Park, MI 48230-1119
Phone (313) 268-4199

Other practice location 2

3555 W 13 Mile Rd # N300
Royal Oak, MI 48073-6710
Phone (248) 551-3302

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nmiller3097109@epic00.corewelldirect.org

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20180411002666 MI Practitioner - Nurse Practitioner 7113280868 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704293364NSA17497MIMDRegistered Nurse
4704293364MIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Beaumont Medical Group- Specialty Services CurrentSince Jan 10, 2025 Accepting new patients
Regents of the University of Michigan Past Accepting new patients

Locations

28100 Grand River Ave
Ste 301
Farmington Hills, MI 48336
Phone (947) 521-1320

26901 Beaumont Blvd
#3D
Southfield, MI 48033

Interoperability endpoints

  • Direct secure messaging: nmiller3097109@epic00.corewelldirect.org

Organizations & group practices 2

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": "1513555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742342400000",
    "number": "1447766126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3621 S STATE ST",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481081633",
            "telephone_number": "734-647-5299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 EAST MEDICAL CENTER DR",
            "address_2": "12TH FLOOR C.S. MOTT CHILDREN'S HOSP RM 525",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481094280",
            "telephone_number": "734-764-5302"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1411 Bedford Rd",
            "address_purpose": "LOCATION",
            "city": "Grosse Pointe Park",
            "state": "MI",
            "postal_code": "482301119",
            "country_code": "US",
            "telephone_number": "313-268-4199",
            "fax_number": "313-268-4199",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3555 W 13 Mile Rd # N300",
            "address_purpose": "LOCATION",
            "city": "Royal Oak",
            "state": "MI",
            "postal_code": "480736710",
            "country_code": "US",
            "telephone_number": "248-551-3302",
            "fax_number": "248-551-7373",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "NICOLE",
        "middle_name": "STIEBER",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-18",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704293364NSA17497",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704293364",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MI",
            "license": "4704293364NSA17497",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MI",
            "license": "4704293364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nmiller3097109@epic00.corewelldirect.org",
            "affiliation": "N",
            "address_1": "3555 W 13 Mile Rd # N300",
            "city": "Royal Oak",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480736710",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

Verify at the official NPI Registry.