Active NPI
Michelle M Miller, CRNA
- Certified Registered Nurse Anesthetist
- Temple, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- AP107049
- Practice address
- 2401 S 31St St
Temple, TX 76508-6002 - Phone
- (254) 724-2111
- NPI assigned
- Jun 20, 2005
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | C01172 | AR | |
| Certified Registered Nurse Anesthetist | 367500000X | 26346 | TN | |
| Certified Registered Nurse Anesthetist | 367500000X | AP107049 | TX | Primary |
Addresses
Primary practice location
2401 S 31St St
Temple, TX 76508-6002
Mailing address
PO Box 844658
Dallas, TX 75284-4658
Phone (254) 724-2111
Other practice location 1
2301 S 56th St
Ste 110
Fort Smith, AR 72903-3755
Phone (479) 452-1581
Other practice location 2
110 29th Ave N Ste 200
Nashville, TN 37203-6002
Phone (615) 327-4304
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mmiller1144100@direct.sw.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR, TN, TX
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1605 S 31St St
Baylor Scott and White Center for Dia
Temple, TX 76508-0001
Phone (254) 215-0100
2401 S 31 St
Temple, TX 76508-0001
Phone (254) 724-2459
2401 S 31St St BLDG
35 Baylor Scott and White Roney Bone and
Temple, TX 76508-0001
Phone (254) 724-2663
810 W U Ave
Temple, TX 76508-0001
Phone (254) 724-2585
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Western Arkansas Obstetric Anesthesia LLC | Anesthesiology | Current | Accepting new patients |
| Western Arkansas Anesthesiology Associates P.a. | Anesthesiology | Current | Accepting new patients |
| Scott & White Clinic | Anesthesiology | Current | Accepting new patients |
| Anesthesia Medical Group, PC | Anesthesiology | Current | Accepting new patients |
| Terre Haute Anesthesiology LLC | Anesthesiology | Current | Accepting new patients |
| Scott & White Clinic | Anesthesiology | Current | Accepting new patients |
| River Valley Anesthesia Associates, P. a. | Anesthesiology | Past | Accepting new patients |
| Jefferson Anesthesiology Associates | Anesthesiology | Past | Accepting new patients |
| Scott & White Hospital - Taylor | Past | Accepting new patients |
Locations
6801 Rogers Ave
Fort Smith, AR 72903
Phone (479) 314-6000
2301 S 56th St
Ste 110
Fort Smith, AR 72903
Phone (479) 452-1581
7301 Rogers Ave
Fort Smith, AR 72903
Phone (479) 314-4600
110 29th Ave N
Ste 200
Nashville, TN 37203
Phone (615) 327-7885
110 29th Ave N
Ste 202
Nashville, TN 37203
Phone (615) 327-7870
101 Lafferty Ave
Cameron, TX 76520
Phone (254) 605-1100
2401 S 31st St
Temple, TX 76508
Phone (254) 724-2459
Interoperability endpoints
- mmiller1144100@direct.sw.org
Organizations & group practices 9
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.
-
dba Baylor Scott & White Clinic - Temple
- Internal Medicine Physician
- Temple, TX
- NPI 1093779704
Anesthesiology
-
- Anesthesiology Physician
- Nashville, TN
- NPI 1215932413
-
- Anesthesiology Physician
- Fort Smith, AR
- NPI 1548202294
-
- Anesthesiology Physician
- Fort Smith, AR
- NPI 1952671703
-
- Anesthesiology Physician
- Terre Haute, IN
- NPI 1770129066
-
dba Baylor Scott & White Medical Center - Taylor
- Emergency Medicine Physician
- Taylor, TX
- NPI 1659366557
-
- Anesthesiology Physician
- Pine Bluff, AR
- NPI 1023005550
-
- Anesthesiology Physician
- Fort Smith, AR
- NPI 1417967472
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Baylor Scott & White Medical Center - Temple
- General Acute Care Hospital
- Temple, TX
- NPI 1477516466
-
dba Kings's Daughters Hospital- Scott & White Healthcare
- General Acute Care Hospital
- Temple, TX
- NPI 1578502613
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675382400000",
"number": "1639174188",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 844658",
"city": "DALLAS",
"state": "TX",
"postal_code": "752844658",
"telephone_number": "254-724-2111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2401 S 31ST ST",
"city": "TEMPLE",
"state": "TX",
"postal_code": "765086002",
"telephone_number": "254-724-2111"
}
],
"practiceLocations": [
{
"address_1": "2301 S 56th St",
"address_2": "STE 110",
"address_purpose": "LOCATION",
"city": "Fort Smith",
"state": "AR",
"postal_code": "729033755",
"country_code": "US",
"telephone_number": "479-452-1581",
"fax_number": "479-452-2148",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "110 29th Ave N Ste 200",
"address_purpose": "LOCATION",
"city": "Nashville",
"state": "TN",
"postal_code": "372036002",
"country_code": "US",
"telephone_number": "615-327-4304",
"fax_number": "615-327-7940",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MILLER",
"first_name": "MICHELLE",
"middle_name": "M",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-06-20",
"last_updated": "2023-02-03",
"certification_date": "2023-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "AR",
"license": "C01172",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TN",
"license": "26346",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TX",
"license": "AP107049",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mmiller1144100@direct.sw.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "2401 S 31st St",
"city": "Temple",
"state": "TX",
"country_code": "US",
"postal_code": "765086002",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Temple, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.