Active NPI
Laura May Wellington Miller, M.D.
- Family Medicine Physician
- Minneapolis, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 53231
- Practice address
- 1020 W Broadway Ave
Minneapolis, MN 55411-2504 - Phone
- (612) 302-8200
- Fax
- (612) 521-4725
- NPI assigned
- Apr 26, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 53231 | MN | Primary |
Addresses
Primary practice location
1020 W Broadway Ave
Minneapolis, MN 55411-2504
Mailing address
808 W 53Rd St
Minneapolis, MN 55419-1238
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Woman'S Medical College, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2426 W Broadway Ave
Minneapolis, MN 55411-1735
Phone (612) 302-8200
720 Washington Ave SE
Minneapolis, MN 55414-2924
Phone (612) 884-0649
Hospital & facility affiliations
- North Memorial Health Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Memorial Health Care | Current | Accepting new patients | |
| University of Minnesota Physicians | Current | Accepting new patients | |
| North Memorial Health Care | Current | Accepting new patients | |
| University of Minnesota Physicians | Current | Accepting new patients | |
| Cardiothoracic Surgery Clinic of North Ms | Past | Accepting new patients |
Locations
1020 W Broadway Ave
Minneapolis, MN 55411
Phone (612) 302-8200
720 Washington Ave SE
Minneapolis, MN 55414
Phone (612) 883-0649
420 Delaware St SE
#126
Minneapolis, MN 55455
Phone (612) 626-2378
2426 W Broadway Ave
Minneapolis, MN 55411
Phone (612) 287-0140
720 Washington Ave SE
Ste 300
Minneapolis, MN 55414
Phone (612) 884-0769
3300 Oakdale Ave N
Robbinsdale, MN 55422
Phone (763) 520-5048
Interoperability endpoints
- lwellington10732@direct.northmemorial.com
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 and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Minneapolis, MN
- NPI 1477598118
-
- General Acute Care Hospital
- Robbinsdale, MN
- NPI 1851344907
-
- Clinic/Center
- Blaine, MN
- NPI 1841995552
-
- Dental Clinic/Center
- Minneapolis, MN
- NPI 1952546061
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Tupelo, MS
- NPI 1154533321
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Robbinsdale, MN
- NPI 1851344907
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1240704000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1380758400000",
"number": "1740424407",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "808 W 53RD ST",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554191238"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1020 W BROADWAY AVE",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554112504",
"telephone_number": "612-302-8200",
"fax_number": "612-521-4725"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "LAURA",
"middle_name": "MAY WELLINGTON",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-04-26",
"last_updated": "2013-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MN",
"license": "53231",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2013; 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.