Individual provider Active NPI

Kristine E. Miller, PA-C

  • Medical Physician Assistant
  • Norristown, PA
National Provider Identifier
1699718122
Registry record updated Aug 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA002877L Issued in PA
Practice address
1301 Powell St
Norristown, PA 19401-3323
Phone
(610) 270-2451
Fax
(610) 313-4711
NPI assigned
Jun 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X MA002877L PA Primary

Addresses

Primary practice location

1301 Powell St
Norristown, PA 19401-3323

Mailing address

PO Box 820137
Philadelphia, PA 19182-0137
Phone (610) 270-2352

Other practice location 1

1068 W Baltimore Pike
Media, PA 19063-5104
Phone (484) 227-4280

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
I20060712000206 PA Practitioner - Physician Assistant 4789697871 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
MA002877LPAMDMedical Physician Assistant

Interoperability endpoints

  • Direct secure messaging: kristine.miller@direct.einstein.edu

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.

NPI Registry JSON

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628121600000",
    "number": "1699718122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 820137",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191820137",
            "telephone_number": "610-270-2352",
            "fax_number": "610-270-2358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 POWELL ST",
            "city": "NORRISTOWN",
            "state": "PA",
            "postal_code": "194013323",
            "telephone_number": "610-270-2451",
            "fax_number": "610-313-4711"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1068 W Baltimore Pike",
            "address_purpose": "LOCATION",
            "city": "Media",
            "state": "PA",
            "postal_code": "190635104",
            "country_code": "US",
            "telephone_number": "484-227-4280",
            "fax_number": "484-227-4230",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "KRISTINE",
        "middle_name": "E.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-13",
        "last_updated": "2021-08-05",
        "certification_date": "2021-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA002877L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norristown, PA

Sources for this page

Verify at the official NPI Registry.