Brock Miller

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

71015364A Issued in IN

Practice address

10590 N Meridian St Ste 105
Carmel, IN 46290-1028

Phone

(317) 583-7800

NPI assigned

Apr 30, 2024

Last updated

Dec 5, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Parkview Logansport Hospital IncGroup PAC ID 8921500646, 41 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Memorial Hospital Hospital, Logansport, IN, CCN 150072

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: brock.miller.1@7598.direct.athenahealth.com
• FHIR API: https://arrprd.mhhcc.org/OAuth2/api/FHIR/R4/
• FHIR API: https://fhir-myrecord.cerner.com/r4/62ec6f7d-af4b-46d8-93b5-703ae9be8c7e/

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.

• Parkview Logansport Hospital, Inc.

  • General Acute Care Hospital
  • Logansport, IN
  • NPI 1942317656
  Medicare reassignment Care Compare group NPD
• St. Vincent Medical Group, Inc.

  dba Ascension Medical Group St. Vincent

  • Orthopaedic Surgery Physician
  • Winchester, IN
  • NPI 1144513375
  Medicare reassignment NPD
• Parkview Logansport Hospital Inc

  • General Acute Care Hospital
  • Logansport, IN
  • NPI 1356320469
  NPD
• Parkview Logansport Hospital, Inc.

  dba Parkview Logansport Hospital Peru Medical Center

  • Rural Health Clinic/Center
  • Peru, IN
  • NPI 1770248015
  NPD
• St. Vincent Medical Group, Inc.

  dba Ascension Medical Group St. Vincent

  • Internal Medicine Physician
  • Carmel, IN
  • NPI 1811881527
  NPD
• Corvasc MDS PC

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Indianapolis, IN
  • NPI 1710902671
  NPD (past)
• Memorial Hospital

  • Ambulance
  • Logansport, IN
  • NPI 1154301661
  NPD (past)
• St Vincent Medical Group Inc

  • Cardiovascular Disease Physician
  • Indianapolis, IN
  • NPI 1558686436
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Parkview Logansport Hospital Inc

  • General Acute Care Hospital
  • Logansport, IN
  • NPI 1356320469
  Care Compare affiliation

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

{
    "created_epoch": "1714435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733356800000",
    "number": "1528814480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10590 N MERIDIAN ST STE 105",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "462901028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10590 N MERIDIAN ST STE 105",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "462901028",
            "telephone_number": "317-583-7800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10580 N Meridian St",
            "address_purpose": "LOCATION",
            "city": "Carmel",
            "state": "IN",
            "postal_code": "462901028",
            "country_code": "US",
            "telephone_number": "317-583-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1101 Michigan Ave",
            "address_purpose": "LOCATION",
            "city": "Logansport",
            "state": "IN",
            "postal_code": "469471528",
            "country_code": "US",
            "telephone_number": "574-722-2633",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "BROCK",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-04-30",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71015364A",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "IN",
            "license": "71015364A",
            "primary": true
        },
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "IN",
            "license": "28239739C",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy Miles
• Andrea Millay
• Amy Jena Miller Reusze, PT
• Allison Adale Miller, PT
• Andrew Michael Miller, M.D.
• Cassi Marie Miller
• Christine Louise Miller, D.O.
• Danielle Miller
• Daun Marie Miller, WHNP-BC
• Emily Jo Miller, NP

• Acute Care Nurse Practitioner in Carmel, IN
• Providers in Carmel, IN by specialty
• Acute Care Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.