Individual provider Active NPI

Michelle M Miller, CRNA

  • Certified Registered Nurse Anesthetist
  • Temple, TX
National Provider Identifier
1639174188
Registry record updated Feb 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
AP107049 Issued in TX
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

Updated by the provider on Feb 3, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
Direct Messaging Address mmiller1144100@direct.sw.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, TN, TX3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20051121000893 AR Practitioner - Certified Registered Nurse Anesthetist (Crna) 3476572272 Reassigns benefits to 2 organizations
I20200228001865 TN Practitioner - Certified Registered Nurse Anesthetist (Crna) 3476572272 Reassigns benefits to 1 organization
I20221130000032 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 3476572272 Reassigns benefits to 1 organization

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
Scott and White ClinicGroup PAC ID 8123923604, 2,426 clinicians

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

OrganizationSpecialtyStatusNew patients
Western Arkansas Obstetric Anesthesia LLC Anesthesiology CurrentSince May 1, 2018 Accepting new patients
Western Arkansas Anesthesiology Associates P.a. Anesthesiology CurrentSince Jul 19, 2010 Accepting new patients
Scott & White Clinic Anesthesiology CurrentSince Nov 11, 2022 Accepting new patients
Anesthesia Medical Group, PC Anesthesiology CurrentSince Jan 15, 2020 Accepting new patients
Terre Haute Anesthesiology LLC Anesthesiology CurrentSince Jan 1, 2020 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 2

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

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.

Verify at the official NPI Registry.