Susan Blessman Miller, R.N., M.S., F.N.P.C.

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

524779 Issued in TX

Practice address

4909 W Park Blvd Ste 177
Plano, TX 75093-2311

Phone

(972) 955-2263

Fax

(972) 521-3215

NPI assigned

Nov 4, 2007

Sex

Female

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 TX

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science, Nurse Practitioner, Registered Nurse

Practice roles

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.

• Health Rejuvenation Specialists

  • Family Medicine Physician
  • Dallas, TX
  • NPI 1144567363
  NPD (past)
• Renewed Vitality LLC

  • Family Medicine Physician
  • Dallas, TX
  • NPI 1578849634
  NPD (past)

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

{
    "created_epoch": "1194134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706140800000",
    "number": "1801076153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4909 W PARK BLVD STE 177",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750932311",
            "telephone_number": "972-955-2263",
            "fax_number": "972-521-3215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4909 W PARK BLVD STE 177",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750932311",
            "telephone_number": "972-955-2263",
            "fax_number": "972-521-3215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "SUSAN",
        "middle_name": "BLESSMAN",
        "credential": "R.N., M.S., F.N.P.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-04",
        "last_updated": "2024-01-25",
        "certification_date": "2021-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "524779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Miller, LPC
• Loren Matthew Miller, DDS
• Maverick Matthew Miller, MSN
• Sherriel Latrice Miller
• Stephanie Miller
• Van Miller, MD PHD
• Vivianna Miller
• Gregory Paul Milligan, M.D.
• Claire Mills
• Mary Ruth Mills

• Family Nurse Practitioner in Plano, TX
• Providers in Plano, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.