Individual provider Active NPI

Berwin Ralph Miller Jr., CNP

  • Family Nurse Practitioner
  • Groveport, OH
National Provider Identifier
1598102337
Registry record updated May 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
COA 15623 Issued in OH
Practice address
6011 Groveport Road
Groveport, OH 43125
Phone
(614) 343-4783
Fax
(614) 830-2024
NPI assigned
Jun 3, 2013
Last updated
May 13, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X COA 15623 OH Primary

Addresses

Primary practice location

6011 Groveport Road
Groveport, OH 43125

Mailing address

6011 Groveport Rd
Groveport, OH 43125-1006
Phone (614) 343-4783

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20140306001380 OH Practitioner - Nurse Practitioner 5890925184 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
First Step Recovery CenterGroup PAC ID 3375823115, 10 clinicians

Practice addresses (Care Compare)

1649 Brice Rd
Suite C
Reynoldsburg, OH 43068-2796
Phone (614) 300-5878

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
COA 15623OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
First Step Recovery Center CurrentSince Jul 1, 2019 Accepting new patients
First Step Recovery Center CurrentSince Jul 1, 2019 Accepting new patients
Vpa PC CurrentSince Jan 16, 2018 Accepting new patients
Vpa PC CurrentSince Jan 16, 2018 Accepting new patients
Vpa PC Current Accepting new patients
The Little Clinic of Ohio LLC Family CurrentSince Feb 25, 2014 Accepting new patients
Cornerstone Project, LLC Past Accepting new patients

Locations

199 Graceland Blvd
Columbus, OH 43214
Phone (614) 410-2814

355 E Campus View Blvd
Ste 180
Columbus, OH 43235
Phone (614) 523-2155

6011 Groveport Rd
Groveport, OH 43125
Phone (614) 343-4783

1649 Brice Rd
Ste C
Reynoldsburg, OH 43068
Phone (614) 300-5878

1653 Brice Rd
Reynoldsburg, OH 43068
Phone (614) 300-5878

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1370217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463097600000",
    "number": "1598102337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6011 GROVEPORT RD",
            "city": "GROVEPORT",
            "state": "OH",
            "postal_code": "431251006",
            "telephone_number": "614-343-4783",
            "fax_number": "614-830-2024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6011 GROVEPORT ROAD",
            "city": "GROVEPORT",
            "state": "OH",
            "postal_code": "43125",
            "telephone_number": "614-343-4783",
            "fax_number": "614-830-2024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "BERWIN",
        "middle_name": "RALPH",
        "name_suffix": "Jr.",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-03",
        "last_updated": "2016-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "COA 15623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Groveport, OH

Sources for this page

Verify at the official NPI Registry.