Individual provider Active NPI

Lori Renee Miller, NP-C

  • Nurse Practitioner
  • Springfield, MO
National Provider Identifier
1508419979
Registry record updated Feb 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
2019021949 Issued in MO
Practice address
3850 S National Ave Ste 705
Springfield, MO 65807-5239
Phone
(417) 900-3407
Fax
(417) 889-0476
NPI assigned
Jul 24, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 2019021949 MO Primary

Addresses

Primary practice location

3850 S National Ave Ste 705
Springfield, MO 65807-5239

Mailing address

801 York St
Manitowoc, WI 54220-4630
Phone (920) 663-9008

Other practice location 1

109 Pinehurst Dr
Branson, MO 65616-2796
Phone (417) 888-0858

Other practice location 2

331 Hospital Dr Ste C
Lebanon, MO 65536-9251
Phone (417) 334-7200

Other practice location 3

1240 E Independence St Ste 200
Springfield, MO 65804-4201
Phone (417) 900-3407

Other practice location 4

1240 E Independence St Ste 100
Springfield, MO 65804-4201
Phone (417) 900-3407

Other practice location 5

2200 E Cleveland St
Monett, MO 65708-6149
Phone (417) 900-3407

Other practice location 6

590 Birch Rd Ste 2C
Hollister, MO 65672-9607
Phone (417) 815-6737

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20190820001715 MO Practitioner - Nurse Practitioner 5597093245 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Forefront Dermatology SC 650 clinicians
Mike Swann, MD, LLC 10 clinicians

Practice addresses (Care Compare)

109 Pinehurst Dr
Branson, MO 65616-2796
Phone (417) 888-0858

1223 Maple St
Farmington, MO 63640-7616
Phone (573) 760-0091

2200 E Cleveland St
Monett, MO 65708-6149
Phone (417) 900-3407

3850 S National Ave
Suite 705
Springfield, MO 65807-5239
Phone (417) 888-0858

590 Birch Rd
Suite 2C
Hollister, MO 65672-9607
Phone (417) 815-6737

Merit-based Incentive Payment System (MIPS)

Final score
91.43 of 100Reported as group
Quality
91.51
Promoting interoperability
100
Improvement activities
40
Cost
79.93

Merit-based Incentive Payment System (MIPS)

Final score
81.52 of 100Reported as group
Quality
61.64
Promoting interoperability
100
Improvement activities
40
Cost
76.77

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2019021949MOMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Forefront Dermatology, S.C. Dermatology CurrentSince Dec 30, 2025 Accepting new patients
Mike Swann, MD, LLC CurrentSince Sep 15, 2022 Accepting new patients
Forefront Dermatology, S.C. Dermatology CurrentSince Dec 30, 2025 Accepting new patients
Forefront Dermatology, S.C. Dermatology Past Accepting new patients
Forefront Dermatology - Missouri, LLC Dermatology Past Accepting new patients

Locations

1223 Maple St
Farmington, MO 63640
Phone (573) 760-0091

590 Birch Rd
Ste 2C
Hollister, MO 65672
Phone (417) 335-7337

331 Hospital Dr
Ste C
Lebanon, MO 65536
Phone (417) 334-7200

2200 E Cleveland St
Monett, MO 65708
Phone (417) 236-2600

1240 E Independence St
Springfield, MO 65804
Phone (417) 888-0858

1240 E Independence St
Ste 200
Springfield, MO 65804
Phone (417) 900-3407

1240 E Independence St
Ste 100
Springfield, MO 65804
Phone (417) 863-7100

3850 S National Ave
Ste 705
Springfield, MO 65807
Phone (417) 888-0858

3850 S National Ave
Springfield, MO 65807
Phone (417) 269-6170

801 York St
Manitowoc, WI 54220
Phone (866) 630-9882

Interoperability endpoints

  • Direct secure messaging: lmiller@swann.emadirect.md

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.

NPI Registry JSON

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

{
    "created_epoch": "1563926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772064000000",
    "number": "1508419979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 YORK ST",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542204630",
            "telephone_number": "920-663-9008",
            "fax_number": "920-684-1439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3850 S NATIONAL AVE STE 705",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658075239",
            "telephone_number": "417-900-3407",
            "fax_number": "417-889-0476"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "109 PINEHURST DR",
            "address_purpose": "LOCATION",
            "city": "BRANSON",
            "state": "MO",
            "postal_code": "656162796",
            "country_code": "US",
            "telephone_number": "417-888-0858",
            "fax_number": "417-889-0476",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "331 HOSPITAL DR STE C",
            "address_purpose": "LOCATION",
            "city": "LEBANON",
            "state": "MO",
            "postal_code": "655369251",
            "country_code": "US",
            "telephone_number": "417-334-7200",
            "fax_number": "417-334-7299",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1240 E INDEPENDENCE ST STE 200",
            "address_purpose": "LOCATION",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658044201",
            "country_code": "US",
            "telephone_number": "417-900-3407",
            "fax_number": "417-889-0476",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1240 E INDEPENDENCE ST STE 100",
            "address_purpose": "LOCATION",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658044201",
            "country_code": "US",
            "telephone_number": "417-900-3407",
            "fax_number": "417-889-0476",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2200 E CLEVELAND ST",
            "address_purpose": "LOCATION",
            "city": "MONETT",
            "state": "MO",
            "postal_code": "657086149",
            "country_code": "US",
            "telephone_number": "417-900-3407",
            "fax_number": "417-889-0476",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "590 BIRCH RD STE 2C",
            "address_purpose": "LOCATION",
            "city": "HOLLISTER",
            "state": "MO",
            "postal_code": "656729607",
            "country_code": "US",
            "telephone_number": "417-815-6737",
            "fax_number": "417-690-3862",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "LORI",
        "middle_name": "RENEE",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-24",
        "last_updated": "2026-02-26",
        "certification_date": "2026-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "2019021949",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

Verify at the official NPI Registry.