Marilyn M Miller, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP121594 Issued in TX

Practice address

1751 Wallace Blvd
Amarillo, TX 79106-1711

Phone

(806) 212-4673

Fax

(806) 212-0057

NPI assigned

Mar 19, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Nurse Practitioner

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bsa Amarillo Diagnostic Clinic IncGroup PAC ID 5294959433, 31 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bsa Hospital Hospital, Amarillo, TX, CCN 450231

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: marilynmiller@adcpa.allscriptsdirect.net

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.

• Bsa Amarillo Diagnostic Clinic Inc

  • Internal Medicine Physician
  • Amarillo, TX
  • NPI 1134559826

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Bsa Harrington Physicians Inc

  • Medical Oncology Physician
  • Amarillo, TX
  • NPI 1346585809

  Multi-Specialty

  Medicare reassignment NPD
• Harrington Physicians, Inc.

  • Medical Oncology Physician
  • Amarillo, TX
  • NPI 1346270055

  Multi-Specialty

  NPD

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

• Bsa Hospital LLC

  • General Acute Care Hospital
  • Amarillo, TX
  • NPI 1407191984
  Care Compare affiliation

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

{
    "created_epoch": "1332115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638835200000",
    "number": "1609141027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 840048",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752840048",
            "telephone_number": "806-212-5079",
            "fax_number": "806-212-6278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1751 WALLACE BLVD",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791061711",
            "telephone_number": "806-212-4673",
            "fax_number": "806-212-0057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "MARILYN",
        "middle_name": "M",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-19",
        "last_updated": "2021-12-07",
        "certification_date": "2021-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP121594",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "344479602",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "393209YNR6",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimball Austin Miller, M.D.
• Kimberly Miller, MS, CCC-SLP
• Lisa Miller, RN
• Lydia Miller, LCSW, MT-BC
• Makayla Miller
• Michael Eric Miller, DPT
• Michelle Annette Miller, PT
• Misty M Miller, PT
• Patrick Ryan Miller, PHARMD
• Scott D Miller, MD

• Family Nurse Practitioner in Amarillo, TX
• Providers in Amarillo, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2021; 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.

Verify at the official NPI Registry.