Theresa Mary Miller

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

077463 Issued in NC

Practice address

200 Hawthorne LN
Charlotte, NC 28204-2515

Phone

(704) 384-4274

Fax

(704) 384-5636

NPI assigned

Jun 15, 2007

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 2

Other names 1

• Ms. Theresa Mary Skibiel Former name

Medicare fee-for-service enrollment

Enrolled in NC, SC2 enrollments

Enrollment records 2

Merit-based Incentive Payment System (MIPS)

Final score

95.22 of 100Reported as group

Quality

100

Promoting interoperability

100

Improvement activities

40

Cost

84.08

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

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.

• Carolina Anesthesia Associates PA

  • Anesthesiology Physician
  • Statesville, NC
  • NPI 1699723791

  SC

  Medicare reassignment NPD
• Carolina Regional Anesthesia PLLC

  • Certified Registered Nurse Anesthetist
  • Pinehurst, NC
  • NPI 1891072609

  Anesthesiology

  Medicare reassignment NPD
• Charlotte Gastroenterology & Hepatology, PLLC

  • Gastroenterology Physician
  • Huntersville, NC
  • NPI 1730100801
  Medicare reassignment NPD
• Charlotte Gastroenterology & Hepatology, PLLC

  • Ambulatory Surgical Clinic/Center
  • Charlotte, NC
  • NPI 1851548655
  Medicare reassignment NPD
• Gateway Anesthesia LLC

  • Certified Registered Nurse Anesthetist
  • Concord, NC
  • NPI 1548401789

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• The Presbyterian Hospital

  • Certified Registered Nurse Anesthetist
  • Charlotte, NC
  • NPI 1487626933

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Western Carolina Sedation Associates, LLC

  • Certified Registered Nurse Anesthetist
  • Hickory, NC
  • NPI 1326669508

  Anesthesiology

  Medicare reassignment NPD
• Triad Sedation Associates, LLC

  • Certified Registered Nurse Anesthetist
  • Winston Salem, NC
  • NPI 1427528595
  Medicare reassignment
• The Presbyterian Hospital

  • Internal Medicine Physician
  • Charlotte, NC
  • NPI 1740169820
  NPD
• Lake Norman Anesthesia Associates

  • Specialist
  • Mooresville, NC
  • NPI 1386753457
  NPD (past)

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

{
    "created_epoch": "1181865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198454400000",
    "number": "1720283245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 601549",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282601549",
            "telephone_number": "704-384-4274",
            "fax_number": "704-384-5636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HAWTHORNE LN",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282042515",
            "telephone_number": "704-384-4274",
            "fax_number": "704-384-5636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "THERESA",
        "middle_name": "MARY",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-15",
        "last_updated": "2007-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NC",
            "license": "077463",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8052943",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NAN802",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "THERESA",
            "last_name": "SKIBIEL",
            "middle_name": "MARY",
            "prefix": "MS.",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Stephanie Ann Miller, ATC-L
• Stuart Otto Miller, M.D.
• Susan Alexander Miller, LPC, LCAS-A
• Sydney Miller
• Teisha Miller
• Tiffany Lasha Miller
• Timothy Bryan Miller, MD
• Tyrin B Miller
• Valentina Miller
• Valerie B Miller, PT

• Certified Registered Nurse Anesthetist in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Certified Registered Nurse Anesthetist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.