Individual provider Active NPI

Lydia M Miles, CRNP

  • Family Nurse Practitioner
  • Harrisburg, PA
National Provider Identifier
1689129066
Registry record updated Jan 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP016455 Issued in PA
Practice address
2310 Patton Rd
Harrisburg, PA 17112-9154
Phone
(717) 724-6500
Fax
(717) 724-6510
NPI assigned
Aug 16, 2016
Last updated
Jan 27, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X SP016455 PA
Family Nurse Practitioner 363LF0000X SP016455 PA Primary

Addresses

Primary practice location

2310 Patton Rd
Harrisburg, PA 17112-9154

Mailing address

2310 Patton Rd
Harrisburg, PA 17112-9154
Phone (717) 724-6500

Other identifiers 1

IdentifierTypeStateIssuer
103140652MedicaidPA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lmiles23958@phsdirect.pinnaclehealth.org

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160926000283 PA Practitioner - Nurse Practitioner 8527355189 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pinnacle Health Medical ServicesGroup PAC ID 7618960493, 1,025 clinicians

Practice addresses (Care Compare)

2310 Patton Rd
Harrisburg, PA 17112-9154
Phone (717) 724-6500

Merit-based Incentive Payment System (MIPS)

Final score
86.08 of 100Reported as group
Quality
76.48
Promoting interoperability
100
Improvement activities
40
Cost
77.12

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP016455PAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Health Medical Services CurrentSince Aug 10, 2016 Accepting new patients
Pinnacle Health Medical Services CurrentSince Aug 10, 2016 Accepting new patients
Pinnacle Health Medical Services Current Accepting new patients
Pinnacle Health Medical Services Nurse Practitioner Past Accepting new patients

Locations

2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100

409 S 2nd St
Ste 2F
Harrisburg, PA 17104
Phone (717) 231-8049

2310 Patton Rd
Lower Paxton, PA 17112
Phone (717) 724-6500

2025 Technology Pkwy
Ste 108
Mechanicsburg, PA 17050
Phone (717) 230-3026

2860 Whiteford Rd
#1
York, PA 17402
Phone (717) 791-2590

Interoperability endpoints

  • Direct secure messaging: lmiles23958@phsdirect.pinnaclehealth.org
  • Direct secure messaging: lmiles296656@upmc.direct-ci.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1471305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611705600000",
    "number": "1689129066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2310 PATTON RD",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171129154",
            "telephone_number": "717-724-6500",
            "fax_number": "717-724-6510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2310 PATTON RD",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171129154",
            "telephone_number": "717-724-6500",
            "fax_number": "717-724-6510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILES",
        "first_name": "LYDIA",
        "middle_name": "M",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-16",
        "last_updated": "2021-01-27",
        "certification_date": "2021-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP016455",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP016455",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103140652",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lmiles23958@phsdirect.pinnaclehealth.org",
            "affiliation": "N",
            "address_1": "2310 Patton Rd",
            "city": "Harrisburg",
            "state": "PA",
            "country_code": "US",
            "postal_code": "171129154",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Harrisburg, PA

Sources for this page

Verify at the official NPI Registry.