Lori Jane Mills, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

10000419A Issued in IN

Practice address

3151 E Center Street Ext
Warsaw, IN 46582-3901

Phone

(574) 267-3070

Fax

(574) 267-4813

NPI assigned

Jul 4, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Midwest Medical Management, P.C.

  • Emergency Medicine Physician
  • Terre Haute, IN
  • NPI 1417996430
  NPD (past)
• U.S. Healthworks Medical Group of Indiana, PC

  • Urgent Care Clinic/Center
  • Warsaw, IN
  • NPI 1083163273
  NPD (past)

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274227200000",
    "number": "1528098308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9712 N 300 W",
            "city": "HUNTINGTON",
            "state": "IN",
            "postal_code": "467509726",
            "telephone_number": "260-344-3435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3151 E CENTER STREET EXT",
            "city": "WARSAW",
            "state": "IN",
            "postal_code": "465823901",
            "telephone_number": "574-267-3070",
            "fax_number": "574-267-4813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLS",
        "first_name": "LORI",
        "middle_name": "JANE",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-04",
        "last_updated": "2010-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "IN",
            "license": "10000419A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "10000419A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CSR #",
            "identifier": "10000419B",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sydney Nicole Miller, RPH
• Miller'S Health Systems Inc
• Miller'S Health Systems, Inc.
• Miller'S Health Systems, Inc.
• Kati Mills
• Elizabeth Miner
• Alexandria Minix
• Mitchell Counseling & Consulting, LLC
• Mitchell Reinholt, OD, LLC
• Jennifer S Mitchell, LMHC

• Medical Physician Assistant in Warsaw, IN
• Providers in Warsaw, IN by specialty
• Medical Physician Assistant in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2010; 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.

Verify at the official NPI Registry.