Active NPI
Mareena Miller, FNP
- Nurse Practitioner
- Corona, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 95005268
- Practice address
- 818 Magnolia Ave # 202
Corona, CA 92879-3128 - Phone
- (909) 653-6128
- NPI assigned
- Nov 18, 2016
- Last updated
- Nov 29, 2023
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 95005268 | CA | Primary |
Addresses
Primary practice location
818 Magnolia Ave # 202
Corona, CA 92879-3128
Mailing address
818 Magnolia Ave # 202
Corona, CA 92879-3128
Phone (909) 653-6128
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1809 W Redlands Blvd
Redlands, CA 92373-8054
Phone (909) 335-3026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95005268 | CA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inland Psychiatric Medical Group Inc | Current | Accepting new patients | |
| Inland Psychiatric Medical Group, Inc. | Current | Accepting new patients | |
| El-Bershawi Medical Corp | Current | Accepting new patients | |
| Inland Psychiatric Medical Group, Inc. | Current | Accepting new patients | |
| Mitchell McDowell, D.O. Inc | Past | Accepting new patients | |
| San Bernardino Medical Group Inc | Past | Accepting new patients | |
| Pacific Professional Surgical Group Inc | Past | Accepting new patients |
Locations
4160 Temescal Canyon Rd
Ste 408
Corona, CA 92883
Phone (951) 344-4451
11306 Mountain View Ave
Ste A
Loma Linda, CA 92354
Phone (909) 423-0408
23110 Atlantic Cir
Ste F
Moreno Valley, CA 92553
Phone (951) 243-6455
8710 Monroe Ct
Ste 150
Rancho Cucamonga, CA 91730
Phone (909) 941-4870
1809 W Redlands Blvd
Redlands, CA 92373
Phone (909) 307-1320
4049 Brockton Ave
Riverside, CA 92501
Phone (951) 300-8124
4234 Riverwalk Pkwy
Ste 230
Riverside, CA 92505
Phone (951) 373-5819
Interoperability endpoints
- mareena.miller.p1@direct.pacificpulm.nextgenshare.com
Organizations & group practices 7
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.
-
- Psychiatry Physician
- Redlands, CA
- NPI 1649217761
-
dba Pacific Pulmonary Medical Group
- Critical Care Medicine (Internal Medicine) Physician
- Riverside, CA
- NPI 1386813103
-
- Psychiatry Physician
- Corona, CA
- NPI 1164169587
-
- Psychiatry Physician
- Redlands, CA
- NPI 1336977990
-
- Adult Reconstructive Orthopaedic Surgery Physician
- Corona, CA
- NPI 1215620745
-
- Trauma Surgery Physician
- Riverside, CA
- NPI 1578341608
-
- Clinic/Center
- San Bernardino, CA
- NPI 1558331231
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1479427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701216000000",
"number": "1750824058",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "818 MAGNOLIA AVE # 202",
"city": "CORONA",
"state": "CA",
"postal_code": "928793128",
"telephone_number": "909-653-6128"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "818 MAGNOLIA AVE # 202",
"city": "CORONA",
"state": "CA",
"postal_code": "928793128",
"telephone_number": "909-653-6128"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "MAREENA",
"name_prefix": "Ms.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-11-18",
"last_updated": "2023-11-29",
"certification_date": "2023-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "95005268",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Corona, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 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.