Individual provider Active NPI

Bailey Miller, MSN, RN, CPNP-PC

  • Pediatric Nurse Practitioner
  • Howell, MI
National Provider Identifier
1679106017
Registry record updated Jan 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
4704314118NSA2003F Issued in MI
Practice address
820 Byron Rd Ste 600
Howell, MI 48843-1072
Phone
(517) 579-2009
NPI assigned
Feb 13, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 4704314118NSA2003F MI Primary

Addresses

Primary practice location

820 Byron Rd Ste 600
Howell, MI 48843-1072

Mailing address

820 Byron Rd Ste 600
Howell, MI 48843-1072
Phone (517) 579-2009

Other practice location 1

44201 Dequindre Rd Ste Ec
Troy, MI 48085-1117
Phone (248) 964-5111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
4704314118NSA2003FMIMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Joyful Pediatrics, PLLC PastSince Feb 16, 2020 Accepting new patients
Bloom Pediatrics PC PastSince Aug 2, 2020 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: bmiller951587@direct.hfhs.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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1581552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735776000000",
    "number": "1679106017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 BYRON RD STE 600",
            "city": "HOWELL",
            "state": "MI",
            "postal_code": "488431072",
            "telephone_number": "517-579-2009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 BYRON RD STE 600",
            "city": "HOWELL",
            "state": "MI",
            "postal_code": "488431072",
            "telephone_number": "517-579-2009"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "44201 Dequindre Rd Ste Ec",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "MI",
            "postal_code": "480851117",
            "country_code": "US",
            "telephone_number": "248-964-5111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "BAILEY",
        "credential": "MSN, RN, CPNP-PC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-13",
        "last_updated": "2025-01-02",
        "certification_date": "2025-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MI",
            "license": "4704314118NSA2003F",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Howell, MI

Sources for this page

Verify at the official NPI Registry.