Individual provider Active NPI

Dara C Miller, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Auburn Hills, MI
National Provider Identifier
1467221929
Registry record updated Oct 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
4704370072 Issued in MI
Practice address
3265 Five Points Dr Ste a
Auburn Hills, MI 48326-2486
Phone
(248) 609-1234
NPI assigned
Dec 26, 2023
Last updated
Oct 30, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X 4704370072 MI
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 4704370072 MI Primary

Addresses

Primary practice location

3265 Five Points Dr Ste a
Auburn Hills, MI 48326-2486

Mailing address

3265 Five Points Dr Ste a
Auburn Hills, MI 48326-2486
Phone (248) 609-1234

Other practice location 1

1225 E Big Beaver Rd
Troy, MI 48083-1905
Phone (248) 524-8801

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
I20241031003892 MI Practitioner - Nurse Practitioner 2961935747 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hani Mekhael MD II PLLCGroup PAC ID 7012392897, 6 clinicians

Practice addresses (Care Compare)

3265 Five Points Dr
Suite a
Auburn Hills, MI 48326-2337
Phone (248) 609-1234

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704370072MIMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hani Mekhael MD II PLLC CurrentSince Oct 20, 2024 Accepting new patients

Locations

3265 Five Points Dr
Ste A
Auburn Hills, MI 48326
Phone (248) 609-1234

50475 Gratiot Ave
Ste B
Chesterfield, MI 48051
Phone (586) 598-0050

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1703548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730246400000",
    "number": "1467221929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3265 FIVE POINTS DR STE A",
            "city": "AUBURN HILLS",
            "state": "MI",
            "postal_code": "483262486",
            "telephone_number": "248-609-1234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3265 FIVE POINTS DR STE A",
            "city": "AUBURN HILLS",
            "state": "MI",
            "postal_code": "483262486",
            "telephone_number": "248-609-1234"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1225 E Big Beaver Rd",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "MI",
            "postal_code": "480831905",
            "country_code": "US",
            "telephone_number": "248-524-8801",
            "fax_number": "248-524-8850",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "DARA",
        "middle_name": "C",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-26",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "MI",
            "license": "4704370072",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MI",
            "license": "4704370072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn Hills, MI

Sources for this page

Verify at the official NPI Registry.