Individual provider Active NPI

Anne Marie Miller, MD

  • Psychiatry Physician
  • Sturgeon Bay, WI
National Provider Identifier
1639166457
Registry record updated Feb 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
48537-20 Issued in WI
Practice address
421 Nebraska St.
Sturgeon Bay, WI 54235-0670
Phone
(920) 746-2345
Fax
(920) 746-2439
NPI assigned
Oct 6, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 48537-20 WI Primary

Addresses

Primary practice location

421 Nebraska St.
Sturgeon Bay, WI 54235-0670

Mailing address

421 Nebraska St
Sturgeon Bay, WI 54235-2225
Phone (920) 746-7155

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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 1

Enrollment IDStateProvider typePAC IDDetails
I20060103000655 WI Practitioner - Psychiatry 8729028485 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
County of Door-Door County Library CurrentSince Jan 2, 2020 Accepting new patients
County of Door-Door County Library CurrentSince Jan 2, 2020 Accepting new patients
Barberton Physician Services, LLC Past Accepting new patients

Locations

421 Nebraska St
Fl 2
Sturgeon Bay, WI 54235

421 Nebraska St
Sturgeon Bay, WI 54235
Phone (920) 746-2345

421 Nebraska St
Fl 1
Sturgeon Bay, WI 54235

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.

Hospital & facility affiliations 2

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

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Northeastern Ohio University College of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
County of Door-Door County Library 4 clinicians

Practice addresses (Care Compare)

421 Nebraska St
Sturgeon Bay, WI 54235-2249
Phone (920) 746-7155

Hospital & facility affiliations

  • Door County Medical Center Hospital, Sturgeon Bay, WI, CCN 521358

NPI Registry JSON

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

{
    "created_epoch": "1128556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708992000000",
    "number": "1639166457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 NEBRASKA ST",
            "city": "STURGEON BAY",
            "state": "WI",
            "postal_code": "542352225",
            "telephone_number": "920-746-7155",
            "fax_number": "920-746-2439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 NEBRASKA ST.",
            "city": "STURGEON BAY",
            "state": "WI",
            "postal_code": "542350670",
            "telephone_number": "920-746-2345",
            "fax_number": "920-746-2439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "ANNE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-06",
        "last_updated": "2024-02-27",
        "certification_date": "2024-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WI",
            "license": "48537-20",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sturgeon Bay, WI

Sources for this page

Verify at the official NPI Registry.