Individual provider Active NPI

Amy Louise Miller, APNP

  • Nurse Practitioner
  • Racine, WI
National Provider Identifier
1861108425
Registry record updated May 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
13520 Issued in WI
Practice address
4700 21St St
Racine, WI 53406-5031
Phone
(262) 598-5306
NPI assigned
Jan 26, 2023
Last updated
May 14, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2024

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 13520 WI Primary
Family Nurse Practitioner 363LF0000X 13520 WI

Addresses

Primary practice location

4700 21St St
Racine, WI 53406-5031

Mailing address

4419 W Sherwood Dr
Franklin, WI 53132-8635
Phone (262) 672-0492

Other practice location 1

3077 N Mayfair Rd Ste 100
Wauwatosa, WI 53222-4305
Phone (414) 384-6700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20230329000636 WI Practitioner - Nurse Practitioner 8628442829 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
81.61 of 100Reported as group
Quality
73.65
Promoting interoperability
87
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Orthopedic Specialty Hospital, LLC Current Accepting new patients
Orthopedic Surgeons of Wisconsin, S.C. Nurse Practitioner CurrentSince Mar 1, 2023 Accepting new patients
Ascension Medical Group-Southeast Wisconsin Inc Nurse Practitioner CurrentSince Apr 26, 2024 Accepting new patients
St. Luke's Health Services, Inc. PastSince May 19, 2024 Accepting new patients

Locations

13950 W Capitol Dr
Brookfield, WI 53005
Phone (414) 302-5400

17000 W Bluemound Rd
Ste L
Brookfield, WI 53005
Phone (262) 207-4680

3111 W Rawson Ave
Ste 110
Franklin, WI 53132

3111 W Rawson Ave
Ste 200
Franklin, WI 53132
Phone (414) 325-4320

3111 W Rawson Ave
Ste 205
Franklin, WI 53132

3111 W Rawson Ave
Ste 215
Franklin, WI 53132
Phone (414) 761-0727

3111 W Rawson Ave
Ste 235
Franklin, WI 53132
Phone (414) 260-5544

7095 S Ballpark Dr
Unit 100
Franklin, WI 53132
Phone (414) 817-6620

9969 S 27th St
Ste 1100
Franklin, WI 53132

12831 N Port Washington Rd
Mequon, WI 53097
Phone (262) 643-1300

2500 W Layton Ave
Ste 160
Milwaukee, WI 53221
Phone (414) 389-3023

3033 W Layton Ave
Ste 102
Milwaukee, WI 53221
Phone (414) 647-0033

3237 S 16th St
Ste 210
Milwaukee, WI 53215
Phone (414) 643-4020

9252 N Green Bay Rd
Milwaukee, WI 53209
Phone (414) 527-5089

10180 Washington Ave
Ste 200
Mount Pleasant, WI 53177
Phone (262) 687-6000

3801 Spring St
Mount Pleasant, WI 53405
Phone (262) 636-4011

201 N Mayfair Rd
Wauwatosa, WI 53226
Phone (414) 259-7200

201 N Mayfair Rd
Fl 2
Wauwatosa, WI 53226
Phone (414) 771-8228

2323 N Mayfair Rd
Ste 300
Wauwatosa, WI 53226
Phone (414) 443-9862

3077 N Mayfair Rd
Ste 100
Wauwatosa, WI 53222
Phone (414) 771-5900

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1674691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715644800000",
    "number": "1861108425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4419 W SHERWOOD DR",
            "city": "FRANKLIN",
            "state": "WI",
            "postal_code": "531328635",
            "telephone_number": "262-672-0492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 21ST ST",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534065031",
            "telephone_number": "262-598-5306"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3077 N Mayfair Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Wauwatosa",
            "state": "WI",
            "postal_code": "532224305",
            "country_code": "US",
            "telephone_number": "414-384-6700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "AMY",
        "middle_name": "LOUISE",
        "credential": "APNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-26",
        "last_updated": "2024-05-14",
        "certification_date": "2024-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "13520",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "13520",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Racine, WI

Sources for this page

Verify at the official NPI Registry.