Active NPI
Casey Miller, ARNP
- Family Nurse Practitioner
- St Augustine, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 9308693
- Practice address
- 400 Health Park Blvd Ste 221
St Augustine, FL 32086-5784 - Phone
- (904) 819-4497
- NPI assigned
- Oct 10, 2017
- Last updated
- Oct 11, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 9308693 | FL | Primary |
| Hospitalist Physician | 208M00000X | ARNP9308693 | FL |
Addresses
Primary practice location
400 Health Park Blvd Ste 221
St Augustine, FL 32086-5784
Mailing address
40 Seven Wonders TRL
Palm Coast, FL 32164-5419
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- 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, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4725 N Federal Hwy
Fort Lauderdale, FL 33308-4603
Phone (954) 771-8000
5150 Belfort Rd
BLDG 400
Jacksonville, FL 32256-6026
Phone (904) 580-4730
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP9308693 | FL | MD | Hospitalist Physician |
| 9308693 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cogent Healthcare of Jacksonville, LLC | Hospitalist | Current | Accepting new patients |
| Sound Physicians of Florida IV, LLC | Current | Accepting new patients | |
| Cogent Healthcare of Jacksonville, LLC | Current | Accepting new patients | |
| Sound Physicians of Florida VI LLC | Current | Accepting new patients | |
| Excellence Health, LLC | Current | Accepting new patients | |
| Ibrahim Heart Clinic PLLC | Current | Accepting new patients | |
| Sound Physicians of Florida IV, LLC | Hospitalist | Current | Accepting new patients |
| Cogent Healthcare of Jacksonville, LLC | Current | Accepting new patients |
Locations
1630 Mason Ave
Ste C
Daytona Beach, FL 32117
Phone (386) 238-9064
215 S US Highway 17
East Palatka, FL 32131
Phone (386) 232-9203
1590 Island Ln
Ste 73
Fleming Island, FL 32003
5150 Belfort Rd
Bldg 400
Jacksonville, FL 32256
Phone (904) 296-0900
655 W 8th St
Jacksonville, FL 32209
Phone (904) 244-1680
4725 N Federal Hwy
Oakland Park, FL 33308
Phone (954) 493-5005
400 Health Park Blvd
Ste 300
St Augustine, FL 32086
Phone (904) 819-4082
3100 E Fletcher Ave
#C
Tampa, FL 33613
Phone (813) 971-6000
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
Organizations & group practices 8
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.
-
- Clinical Cardiac Electrophysiology Physician
- Jacksonville, FL
- NPI 1629511035
-
- Internal Medicine Physician
- Fort Lauderdale, FL
- NPI 1417761073
-
- Internal Medicine Physician
- Jacksonville, FL
- NPI 1124252333
Hospitalist
-
- Family Medicine Physician
- Daytona Beach, FL
- NPI 1447741749
-
- Internal Medicine Physician
- Palm Coast, FL
- NPI 1740633635
Hospitalist
-
- Internal Medicine Physician
- St Petersburg, FL
- NPI 1386215275
-
- Internal Medicine Physician
- Port Orange, FL
- NPI 1861150625
-
- Internal Medicine Physician
- Tampa, FL
- NPI 1235712415
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- St Augustine, FL
- NPI 1144211020
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1507593600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1507680000000",
"number": "1760992317",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 SEVEN WONDERS TRL",
"city": "PALM COAST",
"state": "FL",
"postal_code": "321645419"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 HEALTH PARK BLVD STE 221",
"city": "ST AUGUSTINE",
"state": "FL",
"postal_code": "320865784",
"telephone_number": "904-819-4497"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "CASEY",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-10-10",
"last_updated": "2017-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "9308693",
"primary": true
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "FL",
"license": "ARNP9308693",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St Augustine, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2017; 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.