Individual provider Active NPI

Kirsten Elaine Miller, FNP-BC

  • Family Nurse Practitioner
  • Middletown, PA
National Provider Identifier
1891210621
Registry record updated Dec 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP017710 Issued in PA
Practice address
586 Fulling Mill Rd
Middletown, PA 17057-2966
Phone
(717) 616-3318
Fax
(717) 310-9255
NPI assigned
Aug 14, 2017
Last updated
Dec 11, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2024

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 SP017710 PA Primary

Addresses

Primary practice location

586 Fulling Mill Rd
Middletown, PA 17057-2966

Mailing address

586 Fulling Mill Rd
Middletown, PA 17057-2966
Phone (717) 616-3318

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20171117002384 PA Practitioner - Nurse Practitioner 4688930050 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP017710PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Union Community Care CurrentSince Mar 1, 2021 Accepting new patients
Union Community Care CurrentSince Nov 1, 2017 Accepting new patients
Union Community Care CurrentSince Mar 1, 2021 Accepting new patients
Union Community Care CurrentSince Nov 1, 2017 Accepting new patients

Locations

304 N Water St
Lancaster, PA 17603
Phone (717) 299-6372

625 S Duke St
Lancaster, PA 17602
Phone (717) 299-6372

435 S Kinzer Ave
Ste 6
New Holland, PA 17557
Phone (717) 351-2400

Interoperability endpoints

  • Direct secure messaging: kirsten.miller@488678167609348.direct.elationemr.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, 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": "1502668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733875200000",
    "number": "1891210621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "586 FULLING MILL RD",
            "city": "MIDDLETOWN",
            "state": "PA",
            "postal_code": "170572966",
            "telephone_number": "717-616-3318",
            "fax_number": "717-310-9255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "586 FULLING MILL RD",
            "city": "MIDDLETOWN",
            "state": "PA",
            "postal_code": "170572966",
            "telephone_number": "717-616-3318",
            "fax_number": "717-310-9255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "KIRSTEN",
        "middle_name": "ELAINE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-14",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP017710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, PA

Sources for this page

Verify at the official NPI Registry.