Active NPI
Reagan Colette Miller, FNP-C
- Family Nurse Practitioner
- Valparaiso, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 71013562A
- Practice address
- 3800 Saint Mary Rd Ste 102
Valparaiso, IN 46383-3986 - Phone
- (219) 286-3707
- Fax
- (219) 286-3708
- NPI assigned
- Feb 8, 2023
- Last updated
- Oct 27, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 71013562A | IN | Primary |
Addresses
Primary practice location
3800 Saint Mary Rd Ste 102
Valparaiso, IN 46383-3986
Mailing address
8558 Broadway
Merrillville, IN 46410-7032
Phone (219) 392-7084
Other practice location 1
8135 Calumet Ave
Munster, IN 46321-1701
Phone (219) 523-2000
Other practice location 2
1451 W Morthland Dr
Ste A
Valparaiso, IN 46385-6262
Phone (219) 286-3880
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300072979 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- 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
- Nurse Practitioner
- Education
- Indiana University School of Medicine, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3665 Park PL W
Suite 300
Mishawaka, IN 46545-3566
Phone (877) 448-3627
3800 Saint Mary Rd
Suite 102
Valparaiso, IN 46383-3986
Phone (219) 286-3707
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71013562A | IN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nwi Urgent Care, LLC | Family Medicine | Current | Accepting new patients |
| Metro Infectious Disease Consultants, LLC | Current | Accepting new patients | |
| Community Care Network Inc | Family Medicine | Current | Accepting new patients |
| Metro Infectious Disease Consultants LLC | Current | Accepting new patients |
Locations
901 McClintock Dr
Ste 202
Burr Ridge, IL 60527
Phone (630) 654-4201
9778 E US Highway 36
Avon, IN 46123
2920 S McIntire Dr
Ste 100A
Bloomington, IN 47403
2556 Waterbridge Way
Evansville, IN 47710
7230 Engle Rd
Ste 302
Fort Wayne, IN 46804
973 Emerson Pkwy
Ste D
Greenwood, IN 46143
Phone (317) 585-5730
8330 Naab Rd
Ste 230
Indianapolis, IN 46260
5118 E Lincoln Hwy
Merrillville, IN 46410
8558 Broadway
Merrillville, IN 46410
Phone (219) 392-7084
360 Dunes Plz
Michigan City, IN 46360
3665 Park Pl W
Ste 300
Mishawaka, IN 46545
Phone (574) 314-6436
3411 N Briarwood Ln
Muncie, IN 47304
Phone (317) 870-1970
10240 Calumet Ave
Munster, IN 46321
Phone (219) 440-5286
306 Ridge Rd
Munster, IN 46321
8135 Calumet Ave
Munster, IN 46321
Phone (219) 513-2000
9130 Columbia Ave
Ste A
Munster, IN 46321
Phone (219) 365-1166
9660 Wicker Ave
Saint John, IN 46373
Phone (219) 226-2203
7651 Harvest Dr
Schererville, IN 46375
Phone (219) 322-5723
5787 S US Highway 41
Terre Haute, IN 47802
Phone (812) 219-5702
1451 Morthland Dr
Ste A
Valparaiso, IN 46385
Phone (219) 286-3880
3800 Saint Mary Rd
Ste 102
Valparaiso, IN 46383
Phone (219) 286-3707
Interoperability endpoints
- rmiller157462@ssdirect.comhs.org
Organizations & group practices 6
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.
-
dba Powers Health Medical Group
- Family Medicine Physician
- Saint John, IN
- NPI 1457610487
-
dba Midc, LLC
- Infectious Disease Physician
- Burr Ridge, IL
- NPI 1235125717
IN
-
dba Midwest Express Clinics
- Urgent Care Clinic/Center
- Hammond, IN
- NPI 1629502810
-
- Urgent Care Clinic/Center
- Schererville, IN
- NPI 1942642848
-
dba Midc
- Infectious Disease Physician
- Jonesboro, GA
- NPI 1770307191
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Hobart, IN
- NPI 1558463745
-
dba St Mary Wound Clinic
- General Acute Care Hospital
- Hobart, IN
- NPI 1962504175
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675814400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698364800000",
"number": "1619674934",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8558 BROADWAY",
"city": "MERRILLVILLE",
"state": "IN",
"postal_code": "464107032",
"telephone_number": "219-392-7084",
"fax_number": "219-703-6854"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3800 SAINT MARY RD STE 102",
"city": "VALPARAISO",
"state": "IN",
"postal_code": "463833986",
"telephone_number": "219-286-3707",
"fax_number": "219-286-3708"
}
],
"practiceLocations": [
{
"address_1": "8135 Calumet Ave",
"address_purpose": "LOCATION",
"city": "Munster",
"state": "IN",
"postal_code": "463211701",
"country_code": "US",
"telephone_number": "219-523-2000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1451 W Morthland Dr",
"address_2": "Ste A",
"address_purpose": "LOCATION",
"city": "Valparaiso",
"state": "IN",
"postal_code": "463856262",
"country_code": "US",
"telephone_number": "219-286-3880",
"fax_number": "219-286-3881",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MILLER",
"first_name": "REAGAN",
"middle_name": "COLETTE",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-02-08",
"last_updated": "2023-10-27",
"certification_date": "2023-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IN",
"license": "71013562A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "300072979",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Valparaiso, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 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.