Active NPI
Nicole Stieber Miller, NP
- Acute Care Nurse Practitioner
- Ann Arbor, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 4704293364
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704293364NSA17497 | MI | MD | Registered Nurse |
| 4704293364 | MI | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beaumont Medical Group- Specialty Services | Current | 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
- 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.
-
- Surgery Physician
- Royal Oak, MI
- NPI 1578072906
-
- General Acute Care Hospital
- Ann Arbor, MI
- NPI 1003878539
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.