Peggy Suzanne Miller, RN, ARNP-FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP30001789 Issued in WA

Practice address

8212 S March Point Rd
Anacortes, WA 98221-8684

Phone

(360) 588-2800

NPI assigned

Aug 17, 2007

Last updated

Feb 22, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 5

Addresses

Other identifiers 3

Other names 1

• Peggy Suzanne Wilson Former name

Medicare fee-for-service enrollment

Enrolled in GU

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Registered Nurse

State licenses

Practice roles

Locations

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.

• General Conference Corp of Sda

  dba Guam Seventh-Day Adventist Clinic

  • Clinic/Center
  • Tamuning, GU
  • NPI 1275586877
  Medicare reassignment NPD
• Swinomish Health Services

  dba Swinomish Wellness Program

  • Substance Abuse Rehabilitation Facility
  • Anacortes, WA
  • NPI 1710182787
  NPD
• DM Management PC

  dba One on One Physical Therapy

  • Physical Therapy Clinic/Center
  • Meridian, ID
  • NPI 1336102318
  NPD (past)
• Garden Valley Family Medicine PC

  • Family Medicine Physician
  • Garden Valley, ID
  • NPI 1245312750
  NPD (past)

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

{
    "created_epoch": "1187308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677024000000",
    "number": "1629260112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8212 S MARCH POINT RD",
            "city": "ANACORTES",
            "state": "WA",
            "postal_code": "982218684",
            "telephone_number": "360-588-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8212 S MARCH POINT RD",
            "city": "ANACORTES",
            "state": "WA",
            "postal_code": "982218684",
            "telephone_number": "360-588-2800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "902 E. Maple St.",
            "address_2": "Stillaguamish Tribal Health Clinic",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "WA",
            "postal_code": "98223",
            "country_code": "US",
            "telephone_number": "360-435-9338 x14",
            "fax_number": "360-435-2266",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "388 Ypao Rd",
            "address_purpose": "LOCATION",
            "city": "Tamuning",
            "state": "GU",
            "postal_code": "969133701",
            "country_code": "US",
            "telephone_number": "671-646-8881",
            "fax_number": "671-648-2548",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "PEGGY",
        "middle_name": "SUZANNE",
        "name_prefix": "Ms.",
        "credential": "RN, ARNP-FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-17",
        "last_updated": "2023-02-22",
        "certification_date": "2023-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GU",
            "license": "RN20R32",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GU",
            "license": "20R32-20NP01",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "NP229A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GU",
            "license": "APRN20NP",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP30001789",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "806291300",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RN00081211",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "AP3001789",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PEGGY",
            "last_name": "WILSON",
            "middle_name": "SUZANNE",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Coralie Sophie Meslin, ARNP
• Mallory Ruth Metzger, M.S., CCC-SLP
• Tara Janell Milas, LMP
• Elizabeth Miller, PA-C
• Kailee Miller
• Catherine Michelle Mizen, ARNP
• Robert Mizen, ARNP
• Kelly Dunn Moloney, MA,LMHC,CMHS
• Greg G. Monaghan, M.D.
• William James Monteforte Jr., MD

• Family Nurse Practitioner in Anacortes, WA
• Providers in Anacortes, WA by specialty
• Family Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.