Individual provider Active NPI

Allison Elaine Miller, FNP

  • Family Nurse Practitioner
  • Saint Louis, MO
National Provider Identifier
1538677497
Registry record updated Aug 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2018006687 Issued in MO
Practice address
621 S New Ballas Rd Ste 5003B
Saint Louis, MO 63141-8270
Phone
(314) 251-8892
NPI assigned
Jan 12, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2019

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 041452357 IL
Registered Nurse 163W00000X 143620 MO
Family Nurse Practitioner 363LF0000X 209018354 IL
Family Nurse Practitioner 363LF0000X 2018006687 MO Primary

Addresses

Primary practice location

621 S New Ballas Rd Ste 5003B
Saint Louis, MO 63141-8270

Mailing address

2372 Glenn Dr
Arnold, MO 63010-2231
Phone (314) 605-2055

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
I20180502002514 MO Practitioner - Nurse Practitioner 9830453646 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Clinic Neurology, LLCGroup PAC ID 8729183967, 21 clinicians

Practice addresses (Care Compare)

621 S New Ballas Rd
5003B
Saint Louis, MO 63141-8270
Phone (314) 227-2020

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
041452357ILMDRegistered Nurse
143620MOMDRegistered Nurse
209018354ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic Neurology, LLC CurrentSince Aug 19, 2019 Accepting new patients
Mercy Hospitals East Communities Past Accepting new patients

Locations

621 S New Ballas Rd
Ste 5003B
Saint Louis, MO 63141
Phone (314) 227-2020

621 S New Ballas Rd
Ste 6005B
Saint Louis, MO 63141
Phone (314) 251-6075

1176 Town and Country Commons Dr
Town and Country, MO 63017
Phone (636) 207-2200

Interoperability endpoints

  • Direct secure messaging: amiller1031014@directc.mercy.net

Organizations & group practices 2

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1515715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567036800000",
    "number": "1538677497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2372 GLENN DR",
            "city": "ARNOLD",
            "state": "MO",
            "postal_code": "630102231",
            "telephone_number": "314-605-2055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 S NEW BALLAS RD STE 5003B",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418270",
            "telephone_number": "314-251-8892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "ALLISON",
        "middle_name": "ELAINE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-12",
        "last_updated": "2019-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041452357",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MO",
            "license": "143620",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209018354",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2018006687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.