Active NPI
Kristine June Miller
- Family Medicine Physician
- Boise, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- O-1716
- Practice address
- 1055 N Curtis Rd
Boise, ID 83706-1309 - Phone
- (208) 367-7350
- NPI assigned
- Jun 26, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | NE628 | NE | |
| Family Medicine Physician | 207Q00000X | DR.0053166 | CO | |
| Hospitalist Physician | 208M00000X | DR.0053166 | CO | |
| Family Medicine Physician | 207Q00000X | O-1716 | ID | Primary |
Addresses
Primary practice location
1055 N Curtis Rd
Boise, ID 83706-1309
Mailing address
PO Box 190930
Boise, ID 83719-0930
Phone (208) 367-5170
Other practice location 1
902 Lakeview Ave
Pueblo, CO 81004-3597
Phone (719) 557-5855
Other practice location 2
9850 W St Lukes Dr
Nampa, ID 83687-7912
Phone (208) 205-7282
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 06385273 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO, ID
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1512 12TH Ave Rd
Nampa, ID 83686-6008
Phone (208) 463-5000
3025 W Cherry LN
Meridian, ID 83642-8531
4300 E Flamingo Ave
Nampa, ID 83687-3138
Phone (208) 205-1000
4400 E Flamingo Ave
Nampa, ID 83687-9203
Phone (208) 288-4520
9850 St Lukes Dr
Nampa, ID 83687-7912
Phone (208) 505-2000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sound Physicians of Idaho | Family Medicine | Current | Accepting new patients |
| Pueblo Community Health Center Inc | Current | Accepting new patients | |
| Full Circle Health, Inc. | Current | Accepting new patients | |
| Colorado Hospitalist Services, PLLC | Hospitalist | Current | Accepting new patients |
| Portercare Adventist Health System | Current | Accepting new patients | |
| Poudre Valley Medical Group, LLC | Current | Accepting new patients | |
| Saint Alphonsus Regional Medical Center Inc | Current | Accepting new patients | |
| Poudre Valley Medical Group, LLC | Current | Accepting new patients | |
| Pueblo Community Health Center Inc | Current | Accepting new patients | |
| Portercare Adventist Health System | Current | Accepting new patients | |
| Portercare Adventist Health System | Current | Accepting new patients | |
| St Lukes Clinic-Treasure Valley LLC | Family Medicine | Current | Accepting new patients |
| Colorado Hospitalist Services, PLLC | Hospitalist | Current | Accepting new patients |
| Saint Alphonsus Regional Medical Center Inc | Current | Accepting new patients |
Locations
4404 Barranca Ln
Castle Rock, CO 80104
Phone (720) 733-5260
2350 Meadows Blvd
Castle Rock, CO 80109
Phone (720) 248-3413
1400 E Boulder St
Colorado Springs, CO 80909
Phone (719) 365-5120
8890 N Union Blvd
Colorado Springs, CO 80920
Phone (719) 364-5633
4567 E 9th Ave
Denver, CO 80220
Phone (303) 302-2121
501 E Hampden Ave
Englewood, CO 80113
Phone (303) 788-5300
7750 S Broadway
Ste 260
Littleton, CO 80122
Phone (303) 734-8650
110 E Routt Ave
Pueblo, CO 81004
Phone (719) 543-8718
1008 Minnequa Ave
Pueblo, CO 81004
Phone (719) 557-5656
300 Colorado Ave
Pueblo, CO 81004
Phone (719) 543-8718
610 W Hays St
Boise, ID 83702
Phone (208) 345-3530
1055 N Curtis Rd
Boise, ID 83706
Phone (208) 367-2152
190 E Bannock St
Boise, ID 83712
Phone (208) 381-2378
777 N Raymond St
Boise, ID 83704
Phone (208) 367-6030
3025 W Cherry Ln
Ste B
Meridian, ID 83642
Phone (208) 302-6400
1512 12th Ave Rd
Nampa, ID 83686
Phone (208) 463-5000
9850 W St Lukes Dr
Nampa, ID 83687
Phone (208) 205-7282
Interoperability endpoints
- kmiller597569@direct.ochin.org
- kmiller2849314@direct.trinity-health.org
- kristine.miller.p1@direct.pueblochc.nextgenshare.com
Organizations & group practices 14
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.
-
- Psychologist
- Boise, ID
- NPI 1649357716
-
- Family Medicine Physician
- Boise, ID
- NPI 1326336058
-
- Federally Qualified Health Center (FQHC)
- Boise, ID
- NPI 1841490075
-
- Hospitalist Physician
- Englewood, CO
- NPI 1265806178
-
- General Practice Physician
- Loveland, CO
- NPI 1225356868
-
- Federally Qualified Health Center (FQHC)
- Pueblo, CO
- NPI 1770529950
-
- Psychiatric Hospital Unit
- Boise, ID
- NPI 1770687857
-
- Hospitalist Physician
- Denver, CO
- NPI 1669115747
-
- Hematology & Oncology Physician
- Denver, CO
- NPI 1033546973
-
- Otolaryngology Physician
- Greenwood Village, CO
- NPI 1760761928
-
- Urology Physician
- Lakewood, CO
- NPI 1942165626
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Nampa, ID
- NPI 1831590660
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687996800000",
"number": "1598927931",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 190930",
"city": "BOISE",
"state": "ID",
"postal_code": "837190930",
"telephone_number": "208-367-5170",
"fax_number": "208-367-5180"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1055 N CURTIS RD",
"city": "BOISE",
"state": "ID",
"postal_code": "837061309",
"telephone_number": "208-367-7350"
}
],
"practiceLocations": [
{
"address_1": "902 Lakeview Ave",
"address_purpose": "LOCATION",
"city": "Pueblo",
"state": "CO",
"postal_code": "810043597",
"country_code": "US",
"telephone_number": "719-557-5855",
"fax_number": "719-557-5097",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9850 W St Lukes Dr",
"address_purpose": "LOCATION",
"city": "Nampa",
"state": "ID",
"postal_code": "836877912",
"country_code": "US",
"telephone_number": "208-205-7282",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MILLER",
"first_name": "KRISTINE",
"middle_name": "JUNE",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-26",
"last_updated": "2023-06-29",
"certification_date": "2023-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NE",
"license": "NE628",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CO",
"license": "DR.0053166",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "CO",
"license": "DR.0053166",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "ID",
"license": "O-1716",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "06385273",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Boise, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.