Stacey Lynne Miller, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

SM001761 Issued in MI

Practice address

44250 Garfield Rd
Ste 160
Clinton Township, MI 48038-1150

Phone

(586) 228-2255

Fax

(586) 228-2740

NPI assigned

Jun 17, 2005

Last updated

Oct 22, 2012By the provider in NPPES

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 12

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Kent State University College of Podiatric Medicine, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

McLaren MacombGroup PAC ID 8921912791, 131 clinicians

Michigan Foot and Ankle Institute PCGroup PAC ID 2567435035, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• The Medical Team Home health agency, Livonia, MI, CCN 237125
• McLaren Macomb Hospital, Mount Clemens, MI, CCN 230227
• Select Specialty Hospital-Macomb County Long-term care hospital, Mount Clemens, MI, CCN 232023

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: smiller249126@direct.hfhs.org
• Direct secure messaging: stacey.miller@mfa.ssdirect.aprima.com

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.

• McLaren Macomb

  • Internal Medicine Physician
  • Mount Clemens, MI
  • NPI 1396014601
  Medicare reassignment Care Compare group NPD
• Michigan Foot & Ankle Institute PC

  • Podiatrist
  • Clinton Township, MI
  • NPI 1427083492
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• McLaren Macomb

  • Psychiatric Hospital Unit
  • Shelby Township, MI
  • NPI 1184206385
  Care Compare affiliation
• McLaren Macomb

  • General Acute Care Hospital
  • Mount Clemens, MI
  • NPI 1316938327
  Care Compare affiliation
• Select Specialty Hospital - Macomb County Inc

  • Long Term Care Hospital
  • Mount Clemens, MI
  • NPI 1912907635

  Long-term care hospital

  Care Compare affiliation
• The Medical Team, Inc

  • Home Health Agency
  • Livonia, MI
  • NPI 1750316220
  Care Compare affiliation

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

{
    "created_epoch": "1118966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350864000000",
    "number": "1710982434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44250 GARFIELD RD",
            "address_2": "STE 160",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480381150",
            "telephone_number": "586-228-2255",
            "fax_number": "586-228-2740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44250 GARFIELD RD",
            "address_2": "STE 160",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480381150",
            "telephone_number": "586-228-2255",
            "fax_number": "586-228-2740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "STACEY",
        "middle_name": "LYNNE",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-17",
        "last_updated": "2012-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MI",
            "license": "SM001761",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4616763",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD MI",
            "identifier": "4855050800",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "9102424001",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00140080",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7538001",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCARE",
            "identifier": "17303",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GREAT LAKES HEALTH PLAN",
            "identifier": "104531",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED/CARE CHOICES",
            "identifier": "126745",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLNESS",
            "identifier": "10113130003",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MOLINA",
            "identifier": "4616763",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH ALLIANCE PLAN",
            "identifier": "U71952",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE NETWORK",
            "identifier": "4855050800",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deborah Ann Miller, L.M.S.W.
• Drew Miller
• Eric Miller I, BS
• Heather Elizabeth Miller, COTAL
• Mark Allen Miller, D.C.
• Ashley Milton
• Annette Marie Minaudo, RPH
• Mind & Beyond Home Help Care LLC
• Mindy Salzberg-Siegel DDS PC
• Faith Pauline Miner

• Podiatrist in Clinton Township, MI
• Providers in Clinton Township, MI by specialty
• Podiatrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2012; 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.

Verify at the official NPI Registry.