Vanessa L Miiller, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0214 Issued in SD

Practice address

708 8TH St
Armour, SD 57313-2102

Phone

(605) 724-2151

Fax

(605) 724-2310

NPI assigned

Jun 14, 2005

Last updated

Dec 6, 2011By 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 3

Medicare fee-for-service enrollment

Enrolled in SD

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.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Douglas County Memorial HospitalGroup PAC ID 7810889771, 9 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Douglas County Memorial Hospital-Cah Hospital, Armour, SD, CCN 431305

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Douglas County Memorial Hospital

  • Critical Access Hospital
  • Armour, SD
  • NPI 1336144021
  Medicare reassignment Care Compare group NPD
• Douglas County Memorial Hospital

  • Critical Access Hospital
  • Armour, SD
  • NPI 1518155217
  Medicare reassignment
• Prairie Health Clinic

  • Family Medicine Physician
  • Armour, SD
  • NPI 1598195208
  NPD (past)

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

• Douglas County Memorial Hospital

  • Critical Access Hospital
  • Armour, SD
  • NPI 1336144021
  Care Compare affiliation

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

{
    "created_epoch": "1118707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323129600000",
    "number": "1730184052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 295",
            "city": "CORSICA",
            "state": "SD",
            "postal_code": "573280295",
            "telephone_number": "605-946-5775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 8TH ST",
            "city": "ARMOUR",
            "state": "SD",
            "postal_code": "573132102",
            "telephone_number": "605-724-2151",
            "fax_number": "605-724-2310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIILLER",
        "first_name": "VANESSA",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-14",
        "last_updated": "2011-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SD",
            "license": "0214",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SIOUX VALLEY HEALTH PLAN",
            "identifier": "21229",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "4999898",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6820243",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Douglas County Memorial Hospital
• Donnelle Hoffman
• Richard Lavar Loveless, DDS
• Marlys Luebke, M.D.
• Kari Ann Lund, MD
• Nakayla Lea Pheifer, CNP
• Prairie Health Clinic
• Prairie Villa
• Travis M Sanger, MD
• Janice Marie Schuman, PA-C,, RN

• Physician Assistant in Armour, SD
• Providers in Armour, SD by specialty
• Physician Assistant in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2011; 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.