Individual provider Active NPI

Alison Joye Miller, APN

  • Family Nurse Practitioner
  • O Fallon, IL
National Provider Identifier
1700314945
Registry record updated Aug 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209015016 Issued in IL
Practice address
1512 N Green Mount Rd
O Fallon, IL 62269-2083
Phone
(618) 628-8440
Fax
(618) 628-8209
NPI assigned
Jun 1, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2022

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 209015016 IL
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 209015016 IL Primary

Addresses

Primary practice location

1512 N Green Mount Rd
O Fallon, IL 62269-2083

Mailing address

1512 N Green Mount Rd
O Fallon, IL 62269-2083
Phone (618) 628-8440

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address amiller157772@ewd.direct.hshs.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20171025000641 IL Practitioner - Nurse Practitioner 8921374620 Reassigns benefits to 2 organizations

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
St Josephs Hospital Breese of the Hospital Sisters of the Third OrdeGroup PAC ID 9638064892, 33 clinicians

Practice addresses (Care Compare)

9401 Holy Cross LN
Suite 112
Breese, IL 62230-3510
Phone (618) 526-7271

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209015016ILMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
HSHS Medical Group Inc CurrentSince Sep 18, 2022 Accepting new patients
St Josephs Hospital Breese of the Hospital Sisters of the Third Orde Single Specialty CurrentSince Oct 1, 2018 Accepting new patients
HSHS Medical Group Inc CurrentSince Sep 18, 2022 Accepting new patients
HSHS Medical Group Inc Single Specialty Current Accepting new patients
St Josephs Hospital Breese of the Hospital Sisters of the Third Orde Single Specialty Current Accepting new patients

Locations

9401 Holy Cross Ln
#112
Breese, IL 62230
Phone (618) 526-7271

9401 Holy Cross Ln
Ste 112
Breese, IL 62230
Phone (618) 206-2082

1900 E Lake Shore Dr
Ste 330
Decatur, IL 62521
Phone (217) 423-2889

211 E Hanover St
New Baden, IL 62265
Phone (618) 588-2900

1512 N Green Mount Rd
O Fallon, IL 62269
Phone (618) 624-0100

9515 Holy Cross Ln
Saint Rose, IL 62230
Phone (618) 526-4511

3051 Hollis Dr
Fl 2
Springfield, IL 62704
Phone (217) 321-9321

Organizations & group practices 7

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": "1496275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660176000000",
    "number": "1700314945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1512 N GREEN MOUNT RD",
            "city": "O FALLON",
            "state": "IL",
            "postal_code": "622692083",
            "telephone_number": "618-628-8440",
            "fax_number": "618-628-8209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1512 N GREEN MOUNT RD",
            "city": "O FALLON",
            "state": "IL",
            "postal_code": "622692083",
            "telephone_number": "618-628-8440",
            "fax_number": "618-628-8209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "ALISON",
        "middle_name": "JOYE",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-01",
        "last_updated": "2022-08-11",
        "certification_date": "2022-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209015016",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209015016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amiller157772@ewd.direct.hshs.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "211 E Hanover St",
            "city": "New Baden",
            "state": "IL",
            "country_code": "US",
            "postal_code": "622651811",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in O Fallon, IL

Sources for this page

Verify at the official NPI Registry.