Active NPI
Michele Joy Miller, NP
- Psychiatric/Mental Health Nurse Practitioner
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- SP014855
- Practice address
- 5501 Old York Rd
Philadelphia, PA 19141-3018 - Phone
- (215) 456-9850
- NPI assigned
- Dec 16, 2010
- 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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | F401336-1 | NY | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | SP014855 | PA | Primary |
Addresses
Primary practice location
5501 Old York Rd
Philadelphia, PA 19141-3018
Mailing address
101 E. Olney Ave
Provider Enrollment, Suite 400
Philadelphia, PA 19120-2421
Phone (215) 456-4695
Other practice location 1
7559 263rd St
Glen Oaks, NY 11004-1150
Phone (718) 470-8390
Other practice location 2
7559 263rd St
Glen Oaks, NY 11004-1150
Phone (718) 470-8390
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
60 E Township Line Rd
Elkins Park, PA 19027-2220
Phone (215) 663-6800
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F401336-1 | NY | MD | Psychiatric/Mental Health Nurse Practitioner |
| SP014855 | PA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Einstein Hospital | Current | Accepting new patients | |
| Einstein Practice Plan Inc | Current | Accepting new patients | |
| Einstein Practice Plan Inc | Current | Accepting new patients |
Locations
60 Township Line Rd
Elkins Park, PA 19027
Phone (215) 663-6000
5501 Old York Rd
Ste 3
Philadelphia, PA 19141
Phone (215) 456-7180
1200 W Tabor Rd
Fl 4
Philadelphia, PA 19141
Phone (215) 456-3815
101 E Olney Ave
Ste 400
Philadelphia, PA 19120
Phone (215) 254-2630
5501 York Rd
Philadelphia, PA 19141
Phone (215) 456-7405
Interoperability endpoints
- michele.miller@direct.einstein.edu
Organizations & group practices 3
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.
-
- Psychiatry Physician
- Philadelphia, PA
- NPI 1760434468
-
- General Acute Care Hospital
- Philadelphia, PA
- NPI 1366653818
-
- Certified Registered Nurse Anesthetist
- Philadelphia, PA
- NPI 1457047433
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1292457600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1679876494",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 E. OLNEY AVE",
"address_2": "PROVIDER ENROLLMENT, SUITE 400",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191202421",
"telephone_number": "215-456-4695",
"fax_number": "215-456-5926"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5501 OLD YORK RD",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191413018",
"telephone_number": "215-456-9850"
}
],
"practiceLocations": [
{
"address_1": "7559 263rd St",
"address_purpose": "LOCATION",
"city": "Glen Oaks",
"state": "NY",
"postal_code": "110041150",
"country_code": "US",
"telephone_number": "718-470-8390",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7559 263rd St",
"address_purpose": "LOCATION",
"city": "Glen Oaks",
"state": "NY",
"postal_code": "110041150",
"country_code": "US",
"telephone_number": "718-470-8390",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MILLER",
"first_name": "MICHELE",
"middle_name": "JOY",
"name_prefix": "Mrs.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-12-16",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NY",
"license": "F401336-1",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "PA",
"license": "SP014855",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.