Individual provider Active NPI

Kimberly M Miller, CNM

  • Midwife
  • Millersburg, OH
National Provider Identifier
1730712530
Registry record updated Feb 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
APRN.CNM.019427 Issued in OH
Practice address
1261 Wooster Rd Ste 220
Millersburg, OH 44654-1570
Phone
(330) 674-2822
Fax
(330) 763-2063
NPI assigned
Feb 20, 2020
Last updated
Feb 20, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X APRN.CNM.019427 OH Primary

Addresses

Primary practice location

1261 Wooster Rd Ste 220
Millersburg, OH 44654-1570

Mailing address

981 Wooster Rd
Millersburg, OH 44654-1536
Phone (330) 674-1584

Other identifiers 1

IdentifierTypeStateIssuer
2806477MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200422001878 OH Practitioner - Certified Nurse Midwife (CNM) 5193155778 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Bloomington Medical Services LLC CurrentSince Apr 1, 2025 Accepting new patients
Health Professionals of Holmes County, Inc CurrentSince Mar 1, 2020 Accepting new patients
Health Professionals of Holmes County, Inc Past Accepting new patients
Health Professionals of Holmes County, Inc Past Accepting new patients

Locations

1261 Wooster Rd
Ste 200
Millersburg, OH 44654
Phone (330) 674-2822

981 Wooster Rd
Millersburg, OH 44654
Phone (330) 674-1015

1761 Beall Ave
Wooster, OH 44691
Phone (330) 263-8100

546 Winter St
Ste 100
Wooster, OH 44691
Phone (330) 345-2229

Interoperability endpoints

  • Direct secure messaging: kimberlymiller@hphc.allscriptsdirect.net

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1582156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582156800000",
    "number": "1730712530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "981 WOOSTER RD",
            "city": "MILLERSBURG",
            "state": "OH",
            "postal_code": "446541536",
            "telephone_number": "330-674-1584",
            "fax_number": "330-674-9314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1261 WOOSTER RD STE 220",
            "city": "MILLERSBURG",
            "state": "OH",
            "postal_code": "446541570",
            "telephone_number": "330-674-2822",
            "fax_number": "330-763-2063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "KIMBERLY",
        "middle_name": "M",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-20",
        "last_updated": "2020-02-20",
        "certification_date": "2020-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "OH",
            "license": "APRN.CNM.019427",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2806477",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Millersburg, OH

Sources for this page

Verify at the official NPI Registry.