Individual provider Active NPI

Tonya K Miller, NP

  • Family Nurse Practitioner
  • Morgantown, WV
National Provider Identifier
1801816574
Registry record updated Nov 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
49659 Issued in WV
Practice address
200 Orthopedic Way
Morgantown, WV 26505-1240
Phone
(304) 599-0720
Fax
(304) 599-3962
NPI assigned
Jul 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 49659 WV Primary

Addresses

Primary practice location

200 Orthopedic Way
Morgantown, WV 26505-1240

Mailing address

200 Orthopedic Way
Morgantown, WV 26505-1240
Phone (304) 599-0720

Other identifiers 2

IdentifierTypeStateIssuer
3810006889MedicaidWV
001914010OtherWVBLUE CROSS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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

Enrollment IDStateProvider typePAC IDDetails
I20070409000313 WV Practitioner - Nurse Practitioner 3173627700 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mountainstate Orthopedic Associates IncGroup PAC ID 5991744203, 9 clinicians

Practice addresses (Care Compare)

200 Orthopedic Way
Morgantown, WV 26505-1240
Phone (304) 599-0720

Hospital & facility affiliations

  • Mon Health Medical Center Hospital, Morgantown, WV, CCN 510024

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fairmont Physicians Inc Past Accepting new patients

Organizations & group practices 2

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478476800000",
    "number": "1801816574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 ORTHOPEDIC WAY",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265051240",
            "telephone_number": "304-599-0720",
            "fax_number": "304-599-3962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 ORTHOPEDIC WAY",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265051240",
            "telephone_number": "304-599-0720",
            "fax_number": "304-599-3962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "TONYA",
        "middle_name": "K",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-19",
        "last_updated": "2016-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "49659",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810006889",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "001914010",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morgantown, WV

Sources for this page

Verify at the official NPI Registry.