Maverick Matthew Miller, MSN

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

1034114 Issued in TX

Practice address

6200 W Parker Rd
Plano, TX 75093-8185

Phone

(972) 981-8000

NPI assigned

Aug 3, 2021

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 TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing

State licenses

Interoperability endpoints

• Direct secure messaging: mmiller1275832@direct.texashealth.org

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

{
    "created_epoch": "1627948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627948800000",
    "number": "1801560800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3521 WILSHIRE WAY APT 1112",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750820073",
            "telephone_number": "720-252-6643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 W PARKER RD",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938185",
            "telephone_number": "972-981-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "MAVERICK",
        "middle_name": "MATTHEW",
        "name_prefix": "Mr.",
        "credential": "MSN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-03",
        "last_updated": "2021-08-03",
        "certification_date": "2021-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "1034114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Caroline Miller, DNP, FNP-BC
• Kent Edward Miller
• Kristie L Miller, COTA
• Linda Miller, LPC
• Loren Matthew Miller, DDS
• Sherriel Latrice Miller
• Stephanie Miller
• Susan Blessman Miller, R.N., M.S., F.N.P.C.
• Van Miller, MD PHD
• Vivianna Miller

• Acute Care Nurse Practitioner in Plano, TX
• Providers in Plano, TX by specialty
• Acute Care Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2021; 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.