Active NPI
Dustin Joseph Miller, NP-C
- Family Nurse Practitioner
- Port Barre, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP09016
- Practice address
- 414 Saizon St
Port Barre, LA 70577 - Phone
- (337) 447-4027
- Fax
- (337) 585-2674
- NPI assigned
- Oct 11, 2016
- Last updated
- Oct 3, 2019
- Sex
- Male
- Sole proprietor
- Yes
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 Nurse Practitioner | 363LF0000X | AP09016 | LA | Primary |
Addresses
Primary practice location
414 Saizon St
Port Barre, LA 70577
Mailing address
1119 Prudhomme Cir Ste F
Opelousas, LA 70570-6516
Phone (337) 942-5899
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- 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, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1119 Prudhomme Cir
Suite F
Opelousas, LA 70570-6516
Phone (337) 447-4027
166 Oak Tree Park Dr
Suite B
Sunset, LA 70584-6135
Phone (337) 447-4027
414 Saizan Ave
Port Barre, LA 70577-5156
Phone (337) 447-4027
414 Saizon St
Port Barre, LA 70577-5156
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Acadiana Practitioners LLC | Current | Accepting new patients | |
| Acadiana Practitioners LLC | Current | Accepting new patients | |
| Acadiana Practitioners LLC | Family | Past | Accepting new patients |
| Acadiana Practitioners LLC | Nurse Practitioner | Past | Accepting new patients |
Locations
1119 Prudhomme Cir
Ste F
Opelousas, LA 70570
Phone (337) 942-5899
611 E Prudhomme St
Ste 5
Opelousas, LA 70570
Phone (337) 942-5899
414 Saizan Ave
Port Barre, LA 70577
Phone (337) 447-4027
166 Oak Tree Park Dr
#B
Sunset, LA 70584
Phone (337) 447-4027
Ownership & related parties
All facility ownership & control disclosures 5
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Acadiana Practitioners LLC | Rural health clinic | 5% Or Greater Direct Ownership Interest (50%) General Partnership Interest (50%) Corporate Officer (50%) Operational/Managerial Control (50%) |
Sep 6, 2017 Sep 6, 2017 Sep 6, 2017 Sep 6, 2017 |
| Acadiana Practitioners Opelousas | Rural health clinic | 5% Or Greater Direct Ownership Interest (50%) General Partnership Interest (50%) Corporate Officer (50%) Operational/Managerial Control (50%) |
Sep 6, 2017 Sep 6, 2017 Sep 6, 2017 Sep 6, 2017 |
| Acadiana Practitioners Sunset | Rural health clinic | 5% Or Greater Direct Ownership Interest (50%) General Partnership Interest (50%) Corporate Officer (50%) Operational/Managerial Control (50%) |
Sep 6, 2017 Sep 6, 2017 Sep 6, 2017 Sep 6, 2017 |
| Acadiana Practitioners' Gastro Clinic | Rural health clinic | 5% Or Greater Direct Ownership Interest (50%) General Partnership Interest (50%) Corporate Officer (50%) Operational/Managerial Control (50%) |
Sep 6, 2017 Sep 6, 2017 Sep 6, 2017 Sep 6, 2017 |
| Acadiana Practitioners' Specialty Clinic | Rural health clinic | 5% Or Greater Direct Ownership Interest (50%) Corporate Officer (50%) Operational/Managerial Control (50%) |
Sep 6, 2017 Sep 6, 2017 Sep 6, 2017 |
Owned or controlled facilities with NPI records 5
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
dba Acadiana Practitioners' Gastro Clinic
- Rural Health Clinic/Center
- Opelousas, LA
- NPI 1023822293
5% Or Greater Direct Ownership Interest, Corporate Officer, General Partnership Interest, Operational/Managerial Control
-
dba Acadiana Practitioners Opelousas
- Rural Health Clinic/Center
- Opelousas, LA
- NPI 1255809166
5% Or Greater Direct Ownership Interest, Corporate Officer, General Partnership Interest, Operational/Managerial Control
-
- Rural Health Clinic/Center
- Port Barre, LA
- NPI 1346755154
5% Or Greater Direct Ownership Interest, Corporate Officer, General Partnership Interest, Operational/Managerial Control
-
dba Acadiana Practitioners Sunset
- Rural Health Clinic/Center
- Sunset, LA
- NPI 1497372957
5% Or Greater Direct Ownership Interest, Corporate Officer, General Partnership Interest, Operational/Managerial Control
-
dba Acadiana Practitioners' Specialty Clinic
- Rural Health Clinic/Center
- Opelousas, LA
- NPI 1649084401
5% Or Greater Direct Ownership Interest, Corporate Officer, Operational/Managerial Control
Organizations & group practices 4
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.
-
- Rural Health Clinic/Center
- Port Barre, LA
- NPI 1346755154
-
dba Acadiana Practitioners Opelousas
- Rural Health Clinic/Center
- Opelousas, LA
- NPI 1255809166
Family
-
dba Acadiana Practitioners Sunset
- Rural Health Clinic/Center
- Sunset, LA
- NPI 1497372957
Nurse Practitioner
-
dba Acadiana Practitioners Pharmacy
- Pharmacy
- Opelousas, LA
- NPI 1700773389
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Opelousas, LA
- NPI 1447230388
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1476144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1570060800000",
"number": "1790235000",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1119 PRUDHOMME CIR STE F",
"city": "OPELOUSAS",
"state": "LA",
"postal_code": "705706516",
"telephone_number": "337-942-5899",
"fax_number": "337-585-2674"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "414 SAIZON ST",
"city": "PORT BARRE",
"state": "LA",
"postal_code": "70577",
"telephone_number": "337-447-4027",
"fax_number": "337-585-2674"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "DUSTIN",
"middle_name": "JOSEPH",
"name_prefix": "Mr.",
"credential": "NP-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-10-11",
"last_updated": "2019-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "LA",
"license": "AP09016",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Port Barre, LA
- Eric Keith Fontenot, PT
- Emily Claire Henry, FNP
- Kens Thrifty Way Pharmacy and Home Medical Inc (Ken's Thrifty Way Pharmacy and Home Medical-Port Barre)
- Andrew Leblanc
- Jennifer Ewing Marchand, NP
- Moreau Physical Therapy Inc. (Moreau Physical Therapy)
- Port Associates Medical Center Inc
- Port Barre Pharmacy LLC
- Quality Care Providers of Louisiana, L.L.C.
- Quality Care Providers of Louisiana, L.L.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.