Individual provider Active NPI

Stephanie Selena Miller, NP-C

  • Family Nurse Practitioner
  • Moorefield, WV
National Provider Identifier
1659635167
Registry record updated Jun 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
58804 Issued in WV
Practice address
206 Jackson St
Moorefield, WV 26836-1287
Phone
(304) 530-5980
Fax
(304) 530-5981
NPI assigned
Jun 28, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2024

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 58804 WV Primary

Addresses

Primary practice location

206 Jackson St
Moorefield, WV 26836-1287

Mailing address

206 Jackson St
Moorefield, WV 26836-1287
Phone (304) 530-5980

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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
I20121127000472 WV Practitioner - Nurse Practitioner 1254582117 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Miller Family Healthcare LLCGroup PAC ID 4385918465, 2 clinicians

Practice addresses (Care Compare)

206 Jackson St
Moorefield, WV 26836-1287
Phone (304) 530-5980

Hospital & facility affiliations

  • Pendleton Home Health Services Home health agency, Franklin, WV, CCN 517045
  • Grant Memorial Hospital Hospital, Petersburg, WV, CCN 511316
  • Winchester Medical Center Hospital, Winchester, VA, CCN 490005
  • Hampshire Memorial Hospital Hospital, Romney, WV, CCN 511311
  • Sentara RMH Medical Center Hospital, Harrisonburg, VA, CCN 490004

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
58804WVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Miller Family Healthcare LLC Family CurrentSince May 16, 2017 Accepting new patients

Locations

206 Jackson St
Moorefield, WV 26836
Phone (304) 530-5980

712 N Main St
Ste 201
Moorefield, WV 26836
Phone (304) 530-4999

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15954/brand/1/csg/1/fhir/r4

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.

Hospital & facility affiliations 6

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": "1340841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718236800000",
    "number": "1659635167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 JACKSON ST",
            "city": "MOOREFIELD",
            "state": "WV",
            "postal_code": "268361287",
            "telephone_number": "304-530-5980",
            "fax_number": "304-530-5981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 JACKSON ST",
            "city": "MOOREFIELD",
            "state": "WV",
            "postal_code": "268361287",
            "telephone_number": "304-530-5980",
            "fax_number": "304-530-5981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "STEPHANIE",
        "middle_name": "SELENA",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-28",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "58804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moorefield, WV

Sources for this page

Verify at the official NPI Registry.