Individual provider Active NPI

Anna Elizabeth Miller, PA-C

  • Physician Assistant
  • Dayton, OH
National Provider Identifier
1811613193
Registry record updated Oct 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
50.007878RX Issued in OH
Practice address
438 Shadowlawn Ave
Dayton, OH 45419-4033
Phone
(937) 668-2865
NPI assigned
Oct 18, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 50.007878RX OH Primary

Addresses

Primary practice location

438 Shadowlawn Ave
Dayton, OH 45419-4033

Mailing address

438 Shadowlawn Ave
Dayton, OH 45419-4033
Phone (937) 668-2865

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20240322003300 MI Practitioner - Physician Assistant 1658742648 Reassigns benefits to 10 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
First Choice Urgent Care PCGroup PAC ID 9739221912, 45 clinicians

Practice addresses (Care Compare)

23455 Michigan Ave
Dearborn, MI 48124-1908

25515 Harper Ave
Saint Clair Shores, MI 48081-2209
Phone (586) 435-0160

2952 S Rochester Rd
Rochester Hills, MI 48307-4551
Phone (248) 853-2009

4080 Crooks Rd
Royal Oak, MI 48073-2428
Phone (248) 280-1080

7701 26 Mile Rd
Washington, MI 48094-2804
Phone (248) 280-1080

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Somerset Urgent Care PLLC CurrentSince Feb 1, 2024 Accepting new patients
Shelby Urgent Care PC CurrentSince Feb 1, 2024 Accepting new patients
Lakeside Urgent Care, P.C. CurrentSince Feb 1, 2024 Accepting new patients
Rochester Urgent Care, P. C. CurrentSince Feb 1, 2024 Accepting new patients
Oxford Urgent Care, LLC Past Accepting new patients
First Choice Medical Group PLLC Past Accepting new patients

Locations

44472 Hayes Rd
Clinton Twp, MI 48038
Phone (586) 412-0890

215 E Auburn Rd
Rochester Hills, MI 48307
Phone (248) 853-2009

2952 S Rochester Rd
Rochester Hills, MI 48307
Phone (248) 853-2009

51850 Dequindre Rd
Ste 1
Shelby Township, MI 48316
Phone (586) 799-4082

1500 W Big Beaver Rd
Ste 104
Troy, MI 48084
Phone (248) 649-4444

31200 Mound Rd
Warren, MI 48092
Phone (248) 850-8395

Interoperability endpoints

  • Direct secure messaging: anna.miller.1@20203.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/20203/brand/1/csg/1/fhir/r4

Organizations & group practices 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1666051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666051200000",
    "number": "1811613193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "438 SHADOWLAWN AVE",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454194033",
            "telephone_number": "937-668-2865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "438 SHADOWLAWN AVE",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454194033",
            "telephone_number": "937-668-2865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "ANNA",
        "middle_name": "ELIZABETH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-18",
        "last_updated": "2022-10-18",
        "certification_date": "2022-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.007878RX",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

Verify at the official NPI Registry.