Active NPI
Antonina M Miller, PA-C
- Medical Physician Assistant
- Manchester, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 005677
- Practice address
- 71 Haynes St
Manchester, CT 06040-4131 - Phone
- (860) 646-1222
- NPI assigned
- May 28, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 005677 | CT | Primary |
Addresses
Primary practice location
71 Haynes St
Manchester, CT 06040-4131
Mailing address
71 Haynes St
Manchester, CT 06040-4131
Phone (860) 646-1222
Other practice location 1
1250 Silver St
Middletown, CT 06457-3946
Phone (860) 346-0300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
320 Pomfret St
Putnam, CT 06260-1836
Phone (860) 928-6541
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.01 of 100
- Quality
- 71.79
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5677 | CT | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nems PLLC | Current | Accepting new patients |
Locations
435 Lewis Ave
Meriden, CT 06451
Phone (203) 284-1340
320 Pomfret St
Putnam, CT 06260
Phone (860) 963-6331
Interoperability endpoints
- antonina.miller@xdr.hhchealthdirect.org
Organizations & group practices 4
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.
-
- Emergency Medicine Physician
- Meriden, CT
- NPI 1114482882
-
- Emergency Medicine Physician
- Manchester, CT
- NPI 1518519461
-
- Emergency Medicine Physician
- Willimantic, CT
- NPI 1982889598
-
- Psychologist
- Meriden, CT
- NPI 1275541005
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Meriden, CT
- NPI 1427007848
-
- General Acute Care Hospital
- Meriden, CT
- NPI 1669524187
-
- General Acute Care Hospital
- New Britain, CT
- NPI 1548225360
-
- General Acute Care Hospital
- New Britain, CT
- NPI 1053477075
-
- General Acute Care Hospital
- Willimantic, CT
- NPI 1023191467
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1653696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745280000000",
"number": "1619616653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "71 HAYNES ST",
"city": "MANCHESTER",
"state": "CT",
"postal_code": "060404131",
"telephone_number": "860-646-1222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "71 HAYNES ST",
"city": "MANCHESTER",
"state": "CT",
"postal_code": "060404131",
"telephone_number": "860-646-1222"
}
],
"practiceLocations": [
{
"address_1": "1250 Silver St",
"address_purpose": "LOCATION",
"city": "Middletown",
"state": "CT",
"postal_code": "064573946",
"country_code": "US",
"telephone_number": "860-346-0300",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MILLER",
"first_name": "ANTONINA",
"middle_name": "M",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-05-28",
"last_updated": "2025-04-22",
"certification_date": "2025-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "CT",
"license": "005677",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Manchester, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2025; 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.