NPIMap

Individual provider Active NPI

Andrea Lynn Miller, NP

  • Nurse Practitioner
  • Vincennes, IN
National Provider Identifier
1548339005
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
71001643A Issued in IN
Practice address
406 N 1St St
Vincennes, IN 47591-1340
Phone
(812) 882-1106
Fax
(812) 885-2758
NPI assigned
Nov 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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 71001643A IN Primary

Addresses

Primary practice location

406 N 1St St
Vincennes, IN 47591-1340

Mailing address

406 N 1St St
Vincennes, IN 47591-1340
Phone (812) 882-1106

Other identifiers 3

IdentifierTypeStateIssuer
71001643AOtherINLICENSE
M400032567OtherINMEDICARE
200922190MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050503001347 IN Practitioner - Nurse Practitioner 7113967779 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Daviess County HospitalGroup PAC ID 1557271665, shared by 34 NPIs, 67 clinicians

Practice addresses (Care Compare)

1314 E Walnut St
Washington, IN 47501-2860

1401 Memorial Ave
Washington, IN 47501-3153
Phone (812) 254-2872

1401 Memorial Ave
Suite C
Washington, IN 47501-3154
Phone (812) 254-8856

1402 Grand Ave
Washington, IN 47501-2122
Phone (812) 254-8666

421 E Van Trees St
Washington, IN 47501-2948
Phone (812) 257-7666

PO Box
Suite 32
Washington, IN 47501-0032

PO Box
Suite 760
Washington, IN 47501

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71001643AINMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Daviess County Hospital CurrentSince Dec 1, 2020 Accepting new patients
Daviess County Hospital CurrentSince Dec 1, 2020 Accepting new patients
Daviess County Hospital CurrentSince Dec 1, 2020 Accepting new patients
Daviess County Hospital Current Accepting new patients
Daviess County Hospital Current Accepting new patients
Nibel GP LLC Past Accepting new patients
Rohrer Family Clinic,Inc Past Accepting new patients
Nibel General Practice LLC Past Accepting new patients

Locations

1402 Grand Ave
Washington, IN 47501
Phone (812) 254-2250

1401 Memorial Ave
Washington, IN 47501
Phone (812) 254-2872

1314 E Walnut St
Washington, IN 47501
Phone (812) 254-2250

Organizations & group practices 8

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 8

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": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1548339005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 N 1ST ST",
            "city": "VINCENNES",
            "state": "IN",
            "postal_code": "475911340",
            "telephone_number": "812-882-1106",
            "fax_number": "812-885-2758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 N 1ST ST",
            "city": "VINCENNES",
            "state": "IN",
            "postal_code": "475911340",
            "telephone_number": "812-882-1106",
            "fax_number": "812-885-2758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "ANDREA",
        "middle_name": "LYNN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-07",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71001643A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "71001643A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "M400032567",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200922190",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vincennes, IN

Sources for this page

Verify at the official NPI Registry.