Individual provider Active NPI

Linsey M.S. Miller, NURSE PRACTITIONER

  • Psychiatric/Mental Health Nurse Practitioner
  • Clive, IA
National Provider Identifier
1861707549
Registry record updated Dec 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
G182026 Issued in IA
Practice address
1350 NW 138TH St Ste 200
Clive, IA 50325-8300
Phone
(515) 758-8300
NPI assigned
Aug 18, 2010
Last updated
Dec 27, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 13-92752-092 KS
Psychiatric/Mental Health Nurse Practitioner 363LP0808X G182026 IA Primary

Addresses

Primary practice location

1350 NW 138TH St Ste 200
Clive, IA 50325-8300

Mailing address

1350 NW 138TH St Ste 200
Clive, IA 50325-8300
Phone (515) 758-8300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20250505001028 IA Practitioner - Nurse Practitioner 1456878420 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Adair County Memorial HospitalGroup PAC ID 3072403153, shared by 6 NPIs, 15 clinicians

Practice addresses (Care Compare)

609 SE Kent St
Greenfield, IA 50849-9494
Phone (641) 743-2123

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13-92752-092KSMDRegistered Nurse
G182026IAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Adair County Memorial Hospital CurrentSince Mar 1, 2025 Accepting new patients
Adair County Memorial Hospital CurrentSince Mar 1, 2025 Accepting new patients
Adair County Memorial Hospital Current Accepting new patients
Integrated Psychiatry PLLC Past Accepting new patients

Locations

609 SE Kent St
Greenfield, IA 50849
Phone (641) 743-2123

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/f904b187-16a4-4582-8ea3-887d87de0011/

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": "1282089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735257600000",
    "number": "1861707549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 NW 138TH ST STE 200",
            "city": "CLIVE",
            "state": "IA",
            "postal_code": "503258300",
            "telephone_number": "515-758-8300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 NW 138TH ST STE 200",
            "city": "CLIVE",
            "state": "IA",
            "postal_code": "503258300",
            "telephone_number": "515-758-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "LINSEY",
        "middle_name": "M.S.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-18",
        "last_updated": "2024-12-27",
        "certification_date": "2024-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "KS",
            "license": "13-92752-092",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IA",
            "license": "G182026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clive, IA

Sources for this page

Verify at the official NPI Registry.