Individual provider Active NPI

Courtney Miller, DO

  • Family Medicine Physician
  • Springdale, AR
National Provider Identifier
1902487192
Registry record updated Sep 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
E18031 Issued in AR
Practice address
4077 Elm Springs Rd Ste 105
Springdale, AR 72762-3703
Phone
(479) 927-2100
NPI assigned
Apr 19, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X E18031 AR Primary

Addresses

Primary practice location

4077 Elm Springs Rd Ste 105
Springdale, AR 72762-3703

Mailing address

4077 Elm Springs Rd Ste 105
Springdale, AR 72762-3703
Phone (479) 927-2100

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address courtney.miller.2@2229.direct.athenahealth.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240713000515 AR Practitioner - Family Practice 5092118364 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northwest Physicians LLCGroup PAC ID 0244213213, 36 clinicians

Practice addresses (Care Compare)

601 W Maple Ave
Springdale, AR 72764-5374

Hospital & facility affiliations

  • Northwest Medical Center-Springdale Hospital, Springdale, AR, CCN 040022

Merit-based Incentive Payment System (MIPS)

Final score
87.5 of 100Reported as apm
Quality
69.34
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
E18031ARMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Physicians LLC CurrentSince Aug 1, 2024 Accepting new patients
Northwest Physicians LLC CurrentSince Aug 1, 2024 Accepting new patients

Locations

601 W Maple Ave
Ste 403
Springdale, AR 72764
Phone (479) 750-2742

4077 Elm Springs Rd
Ste 105
Springdale, AR 72762
Phone (479) 757-8099

Interoperability endpoints

  • Direct secure messaging: courtney.miller.2@2229.direct.athenahealth.com

Organizations & group practices 2

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": "1618790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725580800000",
    "number": "1902487192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4077 ELM SPRINGS RD STE 105",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727623703",
            "telephone_number": "479-927-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4077 ELM SPRINGS RD STE 105",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727623703",
            "telephone_number": "479-927-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "COURTNEY",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-19",
        "last_updated": "2024-09-06",
        "certification_date": "2024-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E18031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "courtney.miller.2@2229.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "Athena EMR",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "4077 Elm Springs Rd Ste 105",
            "city": "Springdale",
            "state": "AR",
            "country_code": "US",
            "postal_code": "727623703",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Springdale, AR

Sources for this page

Verify at the official NPI Registry.