Susan M Miller

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

4704164568 Issued in MI

Practice address

711 S Health Parkway Ste 1
Three Rivers, MI 49093-8354

Phone

(269) 273-8557

Fax

(269) 279-6461

NPI assigned

Sep 5, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife

Practice roles

Locations

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.

• Three Rivers Health System, Inc

  • Rural Health Clinic/Center
  • White Pigeon, MI
  • NPI 1720350903
  Medicare reassignment NPD
• Ascension Medical Group Promed

  • Obstetrics & Gynecology Physician
  • Kalamazoo, MI
  • NPI 1437201811
  NPD
• Ascension Medical Group Promed

  • Family Medicine Physician
  • Portage, MI
  • NPI 1497709869
  NPD
• Promed Healthcare

  • Rural Health Clinic/Center
  • Plainwell, MI
  • NPI 1487708830
  NPD
• Three Rivers Health System, Inc

  • Infectious Disease Physician
  • Three Rivers, MI
  • NPI 1346874070
  NPD
• Three Rivers Health System, Inc

  • General Acute Care Hospital
  • Three Rivers, MI
  • NPI 1568739423
  NPD

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

{
    "created_epoch": "1157414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707264000000",
    "number": "1700988052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3245 HEALTH DR STE 100",
            "city": "GRANGER",
            "state": "IN",
            "postal_code": "465301380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 S HEALTH PARKWAY STE 1",
            "city": "THREE RIVERS",
            "state": "MI",
            "postal_code": "490938354",
            "telephone_number": "269-273-8557",
            "fax_number": "269-279-6461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "SUSAN",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-05",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "MI",
            "license": "4704164568",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1700988052",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Meijer Inc
• Lydia Meyer
• Michael Sandborn, MD
• Michigan Emergency Physicians LLP
• Michigan Emergency Physicians, LLP
• Manoj Mithal, M.D.
• Laura Marie Moeslein
• Manolo D Montes, MD
• Theresa Montmorency, R.D.
• Kathleen Andrea Morrill, LMSW

• Advanced Practice Midwife in Three Rivers, MI
• Providers in Three Rivers, MI by specialty
• Advanced Practice Midwife in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.