Individual provider Active NPI

Kristine June Miller

  • Family Medicine Physician
  • Boise, ID
National Provider Identifier
1598927931
Registry record updated Jun 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
O-1716 Issued in ID
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

Updated by the provider on Jun 29, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
06385273MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, ID2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20141021000319 CO Practitioner - Family PracticePractitioner - Hospitalist 1557535952 Reassigns benefits to 3 organizations
I20220919001991 ID Practitioner - Family Practice 1557535952 Reassigns benefits to 4 organizations

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
Sound Physicians of IdahoGroup PAC ID 4688705346, 47 clinicians
St Lukes Clinic-Treasure Valley LLCGroup PAC ID 4981878402, 1,155 clinicians

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

OrganizationSpecialtyStatusNew patients
Sound Physicians of Idaho Family Medicine CurrentSince Feb 26, 2024 Accepting new patients
Pueblo Community Health Center Inc CurrentSince Mar 1, 2016 Accepting new patients
Full Circle Health, Inc. CurrentSince May 31, 2023 Accepting new patients
Colorado Hospitalist Services, PLLC Hospitalist CurrentSince Aug 2, 2017 Accepting new patients
Portercare Adventist Health System CurrentSince Jul 1, 2018 Accepting new patients
Poudre Valley Medical Group, LLC CurrentSince Jan 1, 2015 Accepting new patients
Saint Alphonsus Regional Medical Center Inc CurrentSince Aug 1, 2023 Accepting new patients
Poudre Valley Medical Group, LLC CurrentSince Jan 1, 2015 Accepting new patients
Pueblo Community Health Center Inc CurrentSince Mar 1, 2016 Accepting new patients
Portercare Adventist Health System CurrentSince Jul 1, 2018 Accepting new patients
Portercare Adventist Health System Current Accepting new patients
St Lukes Clinic-Treasure Valley LLC Family Medicine CurrentSince Jul 1, 2022 Accepting new patients
Colorado Hospitalist Services, PLLC Hospitalist CurrentSince Aug 2, 2017 Accepting new patients
Saint Alphonsus Regional Medical Center Inc CurrentSince Aug 1, 2023 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

  • Direct secure messaging: kmiller597569@direct.ochin.org
  • Direct secure messaging: kmiller2849314@direct.trinity-health.org
  • Direct secure messaging: 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.

View all 14

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.