Krista L. Miller, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

209.011240 Issued in IL

Practice address

311 W Lincoln St Ste 101
Belleville, IL 62220-1902

Phone

(618) 222-3200

Fax

(618) 222-3203

NPI assigned

Feb 19, 2014

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 1

Medicare fee-for-service enrollment

Enrolled in IL, TX2 enrollments

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

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.

• Bel Clair Ambulatory Surgical Treatment Center, LTD.

  • Ambulatory Surgical Clinic/Center
  • Belleville, IL
  • NPI 1174601223
  Medicare reassignment NPD
• Millennium Anesthesiology Consultants, LLC

  • Anesthesiology Physician
  • Maryville, IL
  • NPI 1710218094
  Medicare reassignment NPD
• North American Partners in Anesthesia (Illinois), LLC

  • Anesthesiology Physician
  • Oak Park, IL
  • NPI 1699032524
  Medicare reassignment NPD
• Austin Gastroenterology Anesthesia Associates PLLC

  • Anesthesiology Physician
  • Austin, TX
  • NPI 1427405810

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Midwest Anesthesia Providers S.C

  • Anesthesiology Physician
  • Saint Louis, MO
  • NPI 1295189082

  IL, Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Texas Children'S Physician Group

  • Pediatrics Physician
  • Houston, TX
  • NPI 1861675506
  Medicare reassignment NPD
• Eye Anesthesia LLC

  • Anesthesiology Physician
  • Saint Louis, MO
  • NPI 1528334182

  IL

  Medicare reassignment

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

{
    "created_epoch": "1392768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525824000000",
    "number": "1558786152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 W LINCOLN ST STE 101",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622201902",
            "telephone_number": "182-223-2006",
            "fax_number": "618-222-3203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 W LINCOLN ST STE 101",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622201902",
            "telephone_number": "618-222-3200",
            "fax_number": "618-222-3203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "KRISTA",
        "middle_name": "L.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-19",
        "last_updated": "2018-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IL",
            "license": "209.011240",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "209011240",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Midwest Medical Healthcare, LTD.
• Abigail Rose Miller
• David Wayne Miller, RPH
• Desiree Y Miller, PA-C
• Glenn A Miller, DDSMS
• Ky A Miller, MSW, LSW, LCSW
• Kelly J Mincemeyer, OT
• Stephanie Miner
• Jennifer Nicole Mioux
• Harvey Lee Mirly, M.D.

• Certified Registered Nurse Anesthetist in Belleville, IL
• Providers in Belleville, IL by specialty
• Certified Registered Nurse Anesthetist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.