Individual provider Active NPI

Kelli K Miller, APRN-CNP, WHNP-BC

  • Nurse Practitioner
  • Hilliard, OH
National Provider Identifier
1649973249
Registry record updated Mar 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN.CNP.0029220 Issued in OH
Practice address
3841 Trueman CT
Hilliard, OH 43026-2496
Phone
(614) 777-4801
Fax
(614) 777-8644
NPI assigned
Mar 23, 2023
Last updated
Mar 23, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN.CNP.0029220 OH Primary

Addresses

Primary practice location

3841 Trueman CT
Hilliard, OH 43026-2496

Mailing address

3841 Trueman CT
Hilliard, OH 43026-2496
Phone (614) 777-4801

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240722000199 OH Practitioner - Nurse Practitioner 0547706079 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oh Independent Medical Group LLCGroup PAC ID 0648646034, 136 clinicians

Practice addresses (Care Compare)

3841 Trueman CT
Hilliard, OH 43026-2496
Phone (614) 777-4801

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Oh Independent Medical Group LLC CurrentSince Dec 31, 2024 Accepting new patients
Oh Independent Medical Group LLC CurrentSince Dec 31, 2024 Accepting new patients

Locations

7450 Hospital Dr
Ste 4500
Dublin, OH 43016
Phone (614) 566-0166

3841 Trueman Ct
Hilliard, OH 43026
Phone (614) 777-4801

444 N Cleveland Ave
Ste 120
Westerville, OH 43082
Phone (614) 818-0300

Interoperability endpoints

  • Direct secure messaging: kelli.miller.1@26020.direct.athenahealth.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1679529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679529600000",
    "number": "1649973249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3841 TRUEMAN CT",
            "city": "HILLIARD",
            "state": "OH",
            "postal_code": "430262496",
            "telephone_number": "614-777-4801",
            "fax_number": "614-777-8644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3841 TRUEMAN CT",
            "city": "HILLIARD",
            "state": "OH",
            "postal_code": "430262496",
            "telephone_number": "614-777-4801",
            "fax_number": "614-777-8644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "KELLI",
        "middle_name": "K",
        "credential": "APRN-CNP, WHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-23",
        "last_updated": "2023-03-23",
        "certification_date": "2023-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "APRN.CNP.0029220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilliard, OH

Sources for this page

Verify at the official NPI Registry.