Active NPI
Mark Daniel Miller, APRN, AGACNP
- Acute Care Nurse Practitioner
- West Haven, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 12208
- Practice address
- 1 Cellini PL Ste 102
West Haven, CT 06516-1666 - Phone
- (203) 932-6481
- NPI assigned
- Oct 12, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 33688 | TN | |
| Adult Health Nurse Practitioner | 363LA2200X | 12208 | CT | |
| Gerontology Nurse Practitioner | 363LG0600X | 12208 | CT | |
| Acute Care Nurse Practitioner | 363LA2100X | 12208 | CT | Primary |
Addresses
Primary practice location
1 Cellini PL Ste 102
West Haven, CT 06516-1666
Mailing address
124 Warren Ave
Mystic, CT 06355-2131
Phone (860) 460-6814
Other practice location 1
1104 16th Ave S
Nashville, TN 37212-2305
Phone (615) 455-3903
Other practice location 2
106 Valeria St
Nashville, TN 37210-5014
Phone (717) 460-1625
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mark.miller@xdr.hhchealthdirect.org | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- 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
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Cellini PL
Suite 102
West Haven, CT 06516-1666
Phone (203) 932-6481
20 Babcock Ave
Suite 26
Plainfield, CT 06374-1226
Phone (312) 529-8976
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33688 | TN | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| HHC Physician Services, PLLC | Current | Accepting new patients | |
| HHC Physician Services, PLLC | Acute Care | Current | Accepting new patients |
| Comprehensive Rehab Consultants PLLC | Current | Accepting new patients | |
| HHC Physician Services, PLLC | Current | Accepting new patients |
Locations
78 Viets St
New London, CT 06320
Phone (860) 447-1416
250 Indian River Rd
Ste 300
Orange, CT 06477
Phone (203) 738-7700
20 Babcock Ave
Plainfield, CT 06374
Phone (860) 230-0836
20 Babcock Ave
Ste 26
Plainfield, CT 06374
Phone (312) 529-8976
1 Emily Way
West Hartfrd, CT 06107
Phone (860) 561-7022
415 W Golf Rd
Ste 26
Arlington Hts, IL 60005
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.
-
- Physical Medicine & Rehabilitation Physician
- Middle River, MD
- NPI 1710529771
CT
-
- Physical Medicine & Rehabilitation Physician
- Branford, CT
- NPI 1609530237
-
- Pulmonary Disease Physician
- Guilford, CT
- NPI 1962212779
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1665532800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741046400000",
"number": "1639895691",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "124 WARREN AVE",
"city": "MYSTIC",
"state": "CT",
"postal_code": "063552131",
"telephone_number": "860-460-6814"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 CELLINI PL STE 102",
"city": "WEST HAVEN",
"state": "CT",
"postal_code": "065161666",
"telephone_number": "203-932-6481"
}
],
"practiceLocations": [
{
"address_1": "1104 16th Ave S",
"address_purpose": "LOCATION",
"city": "Nashville",
"state": "TN",
"postal_code": "372122305",
"country_code": "US",
"telephone_number": "615-455-3903",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "106 Valeria St",
"address_purpose": "LOCATION",
"city": "Nashville",
"state": "TN",
"postal_code": "372105014",
"country_code": "US",
"telephone_number": "717-460-1625",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MILLER",
"first_name": "MARK",
"middle_name": "DANIEL",
"name_prefix": "Mr.",
"credential": "APRN, AGACNP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-10-12",
"last_updated": "2025-03-04",
"certification_date": "2025-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "TN",
"license": "33688",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "CT",
"license": "12208",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "CT",
"license": "12208",
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "CT",
"license": "12208",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mark.miller@xdr.hhchealthdirect.org",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "1 Cellini Pl Ste 102",
"city": "West Haven",
"state": "CT",
"country_code": "US",
"postal_code": "065161666",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in West Haven, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2025; 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.