Individual provider Active NPI

Vanessa Gail Miller

  • Nurse Practitioner
  • Fairbanks, AK
National Provider Identifier
1831826015
Registry record updated Aug 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
193122 Issued in AK
Practice address
815 2ND Ave Ste 122
Fairbanks, AK 99701-4469
Phone
(907) 374-0852
Fax
(907) 374-0854
NPI assigned
Aug 6, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95020921 CA
Nurse Practitioner 363L00000X 193122 AK Primary

Addresses

Primary practice location

815 2ND Ave Ste 122
Fairbanks, AK 99701-4469

Mailing address

PO Box 72376
Fairbanks, AK 99707-2376
Phone (907) 374-0852

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address vanessa.miller@ndsystems.org Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK
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
I20221222002167 AK Practitioner - Nurse Practitioner 0840660452 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of California, San Francisco School of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Tanana Valley Clinic LLCGroup PAC ID 5698056901, 142 clinicians

Practice addresses (Care Compare)

2111 Cowles St
Fairbanks, AK 99701-5918
Phone (907) 458-2644

Hospital & facility affiliations

  • Fairbanks Memorial Hospital Hospital, Fairbanks, AK, CCN 020012

Merit-based Incentive Payment System (MIPS)

Final score
92.86 of 100Reported as group
Quality
94.88
Promoting interoperability
100
Improvement activities
40
Cost
79.39

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
193122AKMDNurse Practitioner
95020921CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tanana Valley Clinic LLC CurrentSince Sep 1, 2024 Accepting new patients
Nurses Diversified Systems, Inc CurrentSince Aug 14, 2022 Accepting new patients
Tanana Valley Clinic LLC CurrentSince Sep 1, 2024 Accepting new patients
Nurses Diversified Systems, Inc CurrentSince Nov 13, 2022 Accepting new patients

Locations

1650 Cowles St
Fairbanks, AK 99701
Phone (907) 452-8181

815 2nd Ave
Ste 122
Fairbanks, AK 99701
Phone (907) 328-9664

1001 Noble St
Fairbanks, AK 99701
Phone (907) 276-2806

815 2nd Ave
Ste 204
Fairbanks, AK 99701
Phone (907) 750-8114

2111 Cowles St
Fairbanks, AK 99701
Phone (907) 457-4900

Interoperability endpoints

  • Direct secure messaging: vanessa.miller.p1@direct.tananavalley.nextgenshare.com

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1659744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659744000000",
    "number": "1831826015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 72376",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997072376",
            "telephone_number": "907-374-0852",
            "fax_number": "907-374-0854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 2ND AVE STE 122",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997014469",
            "telephone_number": "907-374-0852",
            "fax_number": "907-374-0854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "VANESSA",
        "middle_name": "GAIL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-06",
        "last_updated": "2022-08-06",
        "certification_date": "2022-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95020921",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AK",
            "license": "193122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "vanessa.miller@ndsystems.org",
            "affiliation": "N",
            "endpointDescription": "ndsystem email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "815 2nd Ave Ste 122",
            "city": "Fairbanks",
            "state": "AK",
            "country_code": "US",
            "postal_code": "997014469",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fairbanks, AK

Sources for this page

Verify at the official NPI Registry.