Cory Miller, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA1622 Issued in ME

Practice address

16 Depot St
Livermore Falls, ME 04254-1311

Phone

(207) 897-4345

Fax

(207) 897-2321

NPI assigned

Jun 30, 2016

Last updated

Jun 4, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ME, CA2 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 2

Specialty

Physician Assistant

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Healthreach Community Health CentersGroup PAC ID 5496726523, shared by 12 NPIs, 87 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cory.miller.p1@direct.cmcentersinc.nextgenshare.com

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.

• Healthreach Community Health Centers

  dba Sheepscot Valley Health Center

  • Federally Qualified Health Center (FQHC)
  • Coopers Mills, ME
  • NPI 1841263118
  Medicare reassignment NPD
• Healthreach Community Health Centers

  dba Belgrade Regional Health Center

  • Federally Qualified Health Center (FQHC)
  • Belgrade, ME
  • NPI 1851364632
  Medicare reassignment NPD
• Healthreach Community Health Centers

  dba Lovejoy Health Center

  • Federally Qualified Health Center (FQHC)
  • Albion, ME
  • NPI 1922071745
  Medicare reassignment NPD
• Healthreach Community Health Centers

  dba Bingham Area Health Center

  • Federally Qualified Health Center (FQHC)
  • Bingham, ME
  • NPI 1942273727
  Medicare reassignment
• Mainegeneral Medical Center

  • General Acute Care Hospital
  • Augusta, ME
  • NPI 1669423380
  Medicare reassignment
• Wellspace Health

  • Federally Qualified Health Center (FQHC)
  • Sacramento, CA
  • NPI 1124112933
  Medicare reassignment
• Healthreach Community Health Centers

  dba Lawrence High School Health Center

  • Federally Qualified Health Center (FQHC)
  • Fairfield, ME
  • NPI 1285302893
  NPD
• Healthreach Community Health Centers

  dba Western Maine Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Livermore Falls, ME
  • NPI 1497728133
  NPD
• Mainegeneral Medical Center

  dba MaineGeneral Speciality Care

  • General Acute Care Hospital
  • Augusta, ME
  • NPI 1083949184

  Physician Assistant

  NPD
• Mainegeneral Medical Center

  dba MaineGeneral Pharmacy

  • Community/Retail Pharmacy
  • Waterville, ME
  • NPI 1477344976
  NPD
• Wellspace Health

  • Federally Qualified Health Center (FQHC)
  • Sacramento, CA
  • NPI 1114682689
  NPD
• Wellspace Health

  • Federally Qualified Health Center (FQHC)
  • Sacramento, CA
  • NPI 1225335581
  NPD

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

{
    "created_epoch": "1467244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685836800000",
    "number": "1750732889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 727",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049030727",
            "telephone_number": "207-897-4345",
            "fax_number": "207-897-2321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 DEPOT ST",
            "city": "LIVERMORE FALLS",
            "state": "ME",
            "postal_code": "042541311",
            "telephone_number": "207-897-4345",
            "fax_number": "207-897-2321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "CORY",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-30",
        "last_updated": "2023-06-04",
        "certification_date": "2023-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "ME",
            "license": "PA1622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maine School Administrative District 36
• Maine School Administrative District 36
• Mainehealth (MaineHealth Livermore Falls Health Center)
• Nicole F McCourt, CADC
• Laura D McFarlane, LCPCC
• Rebekah Jane Mitchell, CADC
• Carleton Neil, DMD
• Sharon Neil, LCSW
• Ellen Marie Parker, RN
• Michelle Ann Pelletier, LADC, MHRT/C

• Physician Assistant in Livermore Falls, ME
• Providers in Livermore Falls, ME by specialty
• Physician Assistant in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2023; 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.