Active NPI
Nicole Annee Miller, CRNA
- Certified Registered Nurse Anesthetist
- Mandeville, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN137829
- Practice address
- 200 Greenleaves Blvd
Mandeville, LA 70448-7018 - Phone
- (855) 300-7525
- NPI assigned
- Jan 8, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RN137829 | LA | Primary |
| Certified Registered Nurse Anesthetist | 367500000X | 202431 | LA |
Addresses
Primary practice location
200 Greenleaves Blvd
Mandeville, LA 70448-7018
Mailing address
109 Magnolia Cir
Natchitoches, LA 71457-5260
Phone (337) 366-7636
Other practice location 1
4801 Ambassador Caffery Pkwy
Lafayette, LA 70508-6917
Phone (337) 470-2574
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4801 Ambassador Caffery Pkwy
Lafayette, LA 70508-6917
Phone (337) 470-2000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 202431 | LA | MD | Pediatrics Physician |
| RN137829 | LA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Youngs Professional Services LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
4801 Ambassador Caffery Pkwy
Lafayette, LA 70508
Phone (337) 470-2000
1105 Kaliste Saloom Rd
Lafayette, LA 70508
Phone (225) 296-0041
200 Greenleaves Blvd
Mandeville, LA 70448
Phone (855) 300-7525
1100 Andre St
Ste 300
New Iberia, LA 70563
Phone (337) 364-9225
Organizations & group practices 1
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.
-
- Certified Registered Nurse Anesthetist
- New Iberia, LA
- NPI 1922178599
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rehabilitation Hospital Unit
- New Iberia, LA
- NPI 1992159925
-
- General Acute Care Hospital
- New Iberia, LA
- NPI 1285601088
-
- General Acute Care Hospital
- Lafayette, LA
- NPI 1598766495
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1546905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784678400000",
"number": "1649743063",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 MAGNOLIA CIR",
"city": "NATCHITOCHES",
"state": "LA",
"postal_code": "714575260",
"telephone_number": "337-366-7636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 GREENLEAVES BLVD",
"city": "MANDEVILLE",
"state": "LA",
"postal_code": "704487018",
"telephone_number": "855-300-7525"
}
],
"practiceLocations": [
{
"address_1": "4801 Ambassador Caffery Pkwy",
"address_purpose": "LOCATION",
"city": "Lafayette",
"state": "LA",
"postal_code": "705086917",
"country_code": "US",
"telephone_number": "337-470-2574",
"fax_number": "337-470-2605",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MILLER",
"first_name": "NICOLE",
"middle_name": "ANNEE",
"name_prefix": "Miss",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-01-08",
"last_updated": "2026-07-22",
"certification_date": "2026-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "LA",
"license": "RN137829",
"primary": true
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "LA",
"license": "202431",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mandeville, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2026; 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.