Active NPI
Michelle Angela Miller, FNP-C
- Family Nurse Practitioner
- Saint Louis, MO
National Provider Identifier
1720932163
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 2026008547
- Practice address
- 3860 S Lindbergh Blvd Ste 108
Saint Louis, MO 63127-1373 - Phone
- (314) 337-7200
- NPI assigned
- Feb 23, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 2026008547 | MO | Primary |
| Family Medicine Physician | 207Q00000X | 2026008547 | MO |
Addresses
Primary practice location
3860 S Lindbergh Blvd Ste 108
Saint Louis, MO 63127-1373
Mailing address
14400 Clayton Rd
Ballwin, MO 63011-2713
Phone (636) 207-1137
Other practice location 1
14400 Clayton Rd
Ballwin, MO 63011-2713
Phone (636) 207-1137
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2025
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
3330 Skokie Valley Rd
Suite 200
Highland Park, IL 60035-1041
PO Box
Suite 368
Northbrook, IL 60065
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2026008547 | MO | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1771804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785369600000",
"number": "1720932163",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14400 CLAYTON RD",
"city": "BALLWIN",
"state": "MO",
"postal_code": "630112713",
"telephone_number": "636-207-1137"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3860 S LINDBERGH BLVD STE 108",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631271373",
"telephone_number": "314-337-7200"
}
],
"practiceLocations": [
{
"address_1": "14400 Clayton Rd",
"address_purpose": "LOCATION",
"city": "Ballwin",
"state": "MO",
"postal_code": "630112713",
"country_code": "US",
"telephone_number": "636-207-1137",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MILLER",
"first_name": "MICHELLE",
"middle_name": "ANGELA",
"name_prefix": "Mrs.",
"credential": "FNP-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-02-23",
"last_updated": "2026-07-30",
"certification_date": "2026-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MO",
"license": "2026008547",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "MO",
"license": "2026008547",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2026; 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.