Individual provider Active NPI

Felisha Miller, FNP

  • Family Nurse Practitioner
  • Coos Bay, OR
National Provider Identifier
1588061048
Registry record updated Mar 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
201508553NP-PP Issued in OR
Practice address
320 Central Ave Ste 304
Coos Bay, OR 97420-2241
Phone
(541) 269-0800
Fax
(541) 269-0444
NPI assigned
Nov 28, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 8, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 991948 CO
Family Nurse Practitioner 363LF0000X 201508553NP-PP OR Primary

Addresses

Primary practice location

320 Central Ave Ste 304
Coos Bay, OR 97420-2241

Mailing address

320 Central Ave Ste 304
Coos Bay, OR 97420-2241
Phone (541) 269-0800

Other practice location 1

940 E 5th St
Coquille, OR 97423-1666
Phone (541) 396-3111

Other identifiers 1

IdentifierTypeStateIssuer
500699653OtherOROHP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20151228001975 OR Practitioner - Nurse Practitioner 1658680780 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
991948COMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Bay Area Hospital District CurrentSince Dec 1, 2015 Accepting new patients
Southern Coos Health District CurrentSince Sep 2, 2025 Accepting new patients
North Bend Medical Center Inc CurrentSince Dec 1, 2015 Accepting new patients
Southern Coos Health District CurrentSince Sep 2, 2025 Accepting new patients
North Bend Medical Center Inc CurrentSince Dec 1, 2015 Accepting new patients
Bay Area Hospital District CurrentSince Dec 1, 2015 Accepting new patients

Locations

Dept LA 25339
Pasadena, CA 91185

900 11th St SE
Bandon, OR 97411
Phone (541) 237-2426

1775 Thompson Rd
Coos Bay, OR 97420
Phone (541) 269-8090

1900 Woodland Dr
Coos Bay, OR 97420
Phone (541) 267-5151

2650 N 17th St
Coos Bay, OR 97420
Phone (541) 267-5411

940 E 5th St
Coquille, OR 97423
Phone (541) 396-3101

Interoperability endpoints

  • Direct secure messaging: fmiller4033403@oc.providencedirect.org
  • Direct secure messaging: felisha.miller.p2@direct.coquilletribe.nextgenshare.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1417132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646697600000",
    "number": "1588061048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 CENTRAL AVE STE 304",
            "city": "COOS BAY",
            "state": "OR",
            "postal_code": "974202241",
            "telephone_number": "541-269-0800",
            "fax_number": "541-269-0444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 CENTRAL AVE STE 304",
            "city": "COOS BAY",
            "state": "OR",
            "postal_code": "974202241",
            "telephone_number": "541-269-0800",
            "fax_number": "541-269-0444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "940 E 5th St",
            "address_purpose": "LOCATION",
            "city": "Coquille",
            "state": "OR",
            "postal_code": "974231666",
            "country_code": "US",
            "telephone_number": "541-396-3111",
            "fax_number": "541-824-0431",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "FELISHA",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-28",
        "last_updated": "2022-03-08",
        "certification_date": "2022-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "991948",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "201508553NP-PP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHP",
            "identifier": "500699653",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coos Bay, OR

Sources for this page

Verify at the official NPI Registry.