Derek C. Miller, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

2016027462 Issued in MO

Practice address

1102 W 32ND St
Joplin, MO 64804-3503

Phone

(417) 347-1078

NPI assigned

Sep 22, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Amsurg North Valley Anesthesia LLCGroup PAC ID 7416121447, 4 clinicians

Practice addresses (Care Compare)

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.

• Amsurg North Valley Anesthesia LLC

  • Anesthesiology Physician
  • Phoenix, AZ
  • NPI 1629351788
  Medicare reassignment Care Compare group NPD
• Anesthesia Partners & Management LLC

  dba Arizona Anesthesia Solutions

  • Certified Registered Nurse Anesthetist
  • Brighton, MI
  • NPI 1336530997

  AZ, Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Coronado Anesthesia PLLC

  • Certified Registered Nurse Anesthetist
  • Phoenix, AZ
  • NPI 1336569581

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Sunset Anesthesia, LLC

  • Certified Registered Nurse Anesthetist
  • Mesa, AZ
  • NPI 1841561347

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• East Valley Endoscopy LLC

  • Ambulatory Surgical Clinic/Center
  • Mesa, AZ
  • NPI 1164414447
  NPD (past)

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

{
    "created_epoch": "1474502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474848000000",
    "number": "1558810341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3810",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648033810",
            "telephone_number": "417-347-1078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1102 W 32ND ST",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648043503",
            "telephone_number": "417-347-1078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "DEREK",
        "middle_name": "C.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-09-22",
        "last_updated": "2016-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MO",
            "license": "2016027462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jimmy Anthony Milano, FNP-C
• Cynthia A Miles, RN
• Alberta Lerae Miller, PT
• Alexander Donald Miller, DO
• David Miller
• Derek Wade Miller, D.O.
• Francis Miller, LPC
• Katherine Elizabeth Miller
• Lindsay Lee Miller
• Lisa Xunzhuo Miller, MSN, APRN, FNP-C

• Certified Registered Nurse Anesthetist in Joplin, MO
• Providers in Joplin, MO by specialty
• Certified Registered Nurse Anesthetist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.