Individual provider Active NPI

Brandon Nicholas Miller, NP-C

  • Family Nurse Practitioner
  • Casper, WY
National Provider Identifier
1659617033
Registry record updated Dec 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26196.1203 Issued in WY
Practice address
2521 E 15TH St
Casper, WY 82609-4126
Phone
(307) 237-7444
NPI assigned
Dec 12, 2012
Last updated
Dec 12, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26196.1203 WY Primary

Addresses

Primary practice location

2521 E 15TH St
Casper, WY 82609-4126

Mailing address

5130 Blackmore Rd
Apt #304
Casper, WY 82609-4373
Phone (414) 559-4317

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY
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
I20130226000242 WY Practitioner - Nurse Practitioner 6800041799 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ortho Instacare LLCGroup PAC ID 5890154520, 5 clinicians
McGinley Medical PCGroup PAC ID 0749690642, 7 clinicians

Practice addresses (Care Compare)

234 E 1St St
Suite 102
Casper, WY 82601-2516
Phone (307) 333-2939

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
77.29 of 100Reported as group
Quality
59.55
Promoting interoperability
97
Improvement activities
40
Cost
67.26

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26196.1203WYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ortho Instacare LLC CurrentSince Jun 1, 2023 Accepting new patients
McGinley Medical, PC CurrentSince Apr 3, 2023 Accepting new patients

Locations

234 E 1st St
Ste 230
Casper, WY 82601
Phone (866) 678-4699

234 E 1st St
Ste 102
Casper, WY 82601
Phone (307) 333-2939

407 S Medical Arts Ct
Ste E2
Gillette, WY 82716
Phone (307) 257-2971

Interoperability endpoints

  • Direct secure messaging: brandon.miller.1@21988.direct.athenahealth.com
  • Direct secure messaging: brandon.miller@direct.wyomingmedicalcenter.org

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 1

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": "1355270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355270400000",
    "number": "1659617033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5130 BLACKMORE RD",
            "address_2": "APT #304",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826094373",
            "telephone_number": "414-559-4317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2521 E 15TH ST",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826094126",
            "telephone_number": "307-237-7444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "BRANDON",
        "middle_name": "NICHOLAS",
        "name_prefix": "Mr.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-12-12",
        "last_updated": "2012-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WY",
            "license": "26196.1203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Casper, WY

Sources for this page

Verify at the official NPI Registry.