Individual provider Active NPI

Renee Anastasia Miller, DNP, APRN, FNP-C

  • Family Nurse Practitioner
  • Killeen, TX
National Provider Identifier
1730688979
Registry record updated Dec 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1040967 Issued in TX
Practice address
4501 Clear Creek Rd
Killeen, TX 76549-4218
Phone
(254) 501-6400
NPI assigned
Feb 2, 2018
Last updated
Dec 13, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1040967 TX Primary

Addresses

Primary practice location

4501 Clear Creek Rd
Killeen, TX 76549-4218

Mailing address

PO Box 844658
Dallas, TX 75284-7658

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, TN, TX3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20180301000482 KY Practitioner - Nurse Practitioner 0840551123 Reassigns benefits to 1 organization
I20180716002155 TN Practitioner - Nurse Practitioner 0840551123 Reassigns benefits to 2 organizations
I20210803000241 TX Practitioner - Nurse Practitioner 0840551123 Reassigns benefits to 5 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1040967TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
DCS Medical PA CurrentSince Jul 1, 2023 Accepting new patients
Scott & White Clinic CurrentSince Jul 27, 2021 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Jan 23, 2018 Accepting new patients
DCS Medical PA CurrentSince Jul 1, 2023 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Jan 23, 2018 Accepting new patients
Crossroads Urgent Care PLLC Family CurrentSince Sep 21, 2020 Accepting new patients
Crossroads Urgent Care PLLC Family CurrentSince Sep 21, 2020 Accepting new patients
Fast Pace Kentucky PLLC Family CurrentSince Jan 23, 2018 Accepting new patients
Dispatchhealth-Texas P a CurrentSince Jan 1, 2022 Accepting new patients
Scott & White Clinic CurrentSince Jul 27, 2021 Accepting new patients
Premier Physicians-II, P.a. CurrentSince Aug 1, 2026 Accepting new patients
Doctors Express of the Beaumont Area PA CurrentSince Feb 2, 2023 Accepting new patients
Fast Pace Kentucky, PLLC CurrentSince Jan 23, 2018 Accepting new patients
Southlake Doctors Express, PA PSC Current Accepting new patients
Dispatchhealth-Texas P a PastSince Jan 1, 2022 Accepting new patients
Scott & White Memorial Hospital PastSince Sep 12, 2021 Accepting new patients

Locations

1475 Nashville Rd
Franklin, KY 42134
Phone (270) 813-1111

1251 Paris Rd
Mayfield, KY 42066
Phone (270) 356-1345

1151 W 9th St
Russellville, KY 42276
Phone (270) 847-4033

1466 Tiny Town Rd
Ste C
Clarksville, TN 37042
Phone (931) 503-7093

2147 Wilma Rudolph Blvd
Ste 102
Clarksville, TN 37040
Phone (931) 241-4115

665 N Main St
Crossville, TN 38555
Phone (931) 337-0510

2445 Memorial Blvd
Ste C
Murfreesboro, TN 37129
Phone (615) 217-6900

30 Burton Hills Blvd
Ste 175
Nashville, TN 37215
Phone (615) 988-2014

12885 Research Blvd
Ste 210
Austin, TX 78750

6600 S Mopac Expy
Ste 2180
Austin, TX 78749
Phone (512) 522-3010

8831 N Highway 146
Baytown, TX 77523
Phone (281) 533-8354

3195 Dowlen Rd
Ste 105
Beaumont, TX 77706
Phone (409) 860-1888

3201 University Dr E
Ste 135
Bryan, TX 77802
Phone (979) 703-1832

101 Lafferty Ave
Cameron, TX 76520
Phone (254) 605-1100

2901 W 7th Ave
Corsicana, TX 75110
Phone (903) 616-0111

6445 FM 1463 Rd
Ste 230
Katy, TX 77494
Phone (281) 990-6890

4501 Clear Creek Rd
Killeen, TX 76549
Phone (254) 501-6400

8850 Spencer Hwy
La Porte, TX 77571
Phone (281) 946-9980

1921 W League City Pkwy
Ste 130
League City, TX 77573
Phone (281) 937-2590

4335 W Piedras Dr
Ste 101
San Antonio, TX 78228
Phone (210) 891-5235

2315 E Southlake Blvd
Ste 110
Southlake, TX 76092
Phone (817) 488-9922

2112 SW Loop 363
Ste 110
Temple, TX 76504

2401 S 31st St
Temple, TX 76508
Phone (254) 724-2459

7010 W Adams Ave
Ste 200
Temple, TX 76502
Phone (254) 228-1200

Organizations & group practices 18

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.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1517529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670889600000",
    "number": "1730688979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 844658",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752847658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4501 CLEAR CREEK RD",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765494218",
            "telephone_number": "254-501-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "RENEE",
        "middle_name": "ANASTASIA",
        "name_prefix": "Dr.",
        "credential": "DNP, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-02",
        "last_updated": "2022-12-13",
        "certification_date": "2022-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1040967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Killeen, TX

Sources for this page

Verify at the official NPI Registry.