Individual provider Active NPI

Lisa Rae Miller, FNP-BC

  • Family Nurse Practitioner
  • Terre Haute, IN
National Provider Identifier
1487441119
Registry record updated Apr 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71016557A Issued in IN
Practice address
110 Crawford St
Terre Haute, IN 47807-4614
Phone
(812) 231-5678
NPI assigned
Apr 24, 2025
Last updated
Apr 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 71016557A IN Primary

Addresses

Primary practice location

110 Crawford St
Terre Haute, IN 47807-4614

Mailing address

5216 W County Road 775 S
Reelsville, IN 46171-9654
Phone (765) 720-4977

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20250604004059 IN Practitioner - Nurse Practitioner 7012200892 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Union Associated Physicians Clinic LLC CurrentSince May 12, 2025 Accepting new patients
Union Associated Physicians Clinic, LLC CurrentSince May 12, 2025 Accepting new patients
Center for Occupational Health Past Accepting new patients

Locations

1 St Mary of Woods Coll
Saint Mary of the Woods, IN 47876

1606 N 7th St
Terre Haute, IN 47804
Phone (812) 238-7523

221 S 6th St
Terre Haute, IN 47807
Phone (812) 242-3115

5500 Wabash Ave
Terre Haute, IN 47803
Phone (812) 877-8050

567 N 5th St
Terre Haute, IN 47809
Phone (812) 237-3632

Organizations & group practices 3

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": "1745452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745452800000",
    "number": "1487441119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5216 W COUNTY ROAD 775 S",
            "city": "REELSVILLE",
            "state": "IN",
            "postal_code": "461719654",
            "telephone_number": "765-720-4977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 CRAWFORD ST",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478074614",
            "telephone_number": "812-231-5678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "LISA",
        "middle_name": "RAE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-24",
        "last_updated": "2025-04-24",
        "certification_date": "2025-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71016557A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Terre Haute, IN

Sources for this page

Verify at the official NPI Registry.