Individual provider Active NPI

Michelle Angela Miller, FNP-C

  • Family Nurse Practitioner
  • Saint Louis, MO
National Provider Identifier
1720932163
Registry record updated Jul 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2026008547 Issued in MO
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

Updated by the provider on Jul 30, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2026008547 MO Primary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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
Green means eligible to order or refer.

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

LicenseStateTypeSpecialty
2026008547MOMDFamily 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

Verify at the official NPI Registry.