Active NPI
Cheryl Miller, NP-C
- Nurse Practitioner
- West Branch, MI
National Provider Identifier
1912085564
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 4704103298
- Practice address
- 337 E Houghton Ave
West Branch, MI 48661-1127 - Phone
- (989) 345-5240
- Fax
- (989) 345-4513
- NPI assigned
- Nov 1, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 4704103298 | MI | Primary |
Addresses
Primary practice location
337 E Houghton Ave
West Branch, MI 48661-1127
Mailing address
337 E Houghton Ave
West Branch, MI 48661-1127
Phone (989) 345-5240
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4704103298 | Other | MI | STATE LICENSE |
| 5181615 | Medicaid | MI | |
| 700G210140 | Other | MI | BCBS GROUP |
| 5008770700 | Other | MI | BCBS PIN |
| 5181590 | Medicaid | MI | |
| 5206483 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hamilton Community Health Network Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Federally Qualified Health Center (FQHC)
- Flint, MI
- NPI 1386624278
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1233014400000",
"number": "1912085564",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "337 E HOUGHTON AVE",
"city": "WEST BRANCH",
"state": "MI",
"postal_code": "486611127",
"telephone_number": "989-345-5240",
"fax_number": "989-345-4513"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "337 E HOUGHTON AVE",
"city": "WEST BRANCH",
"state": "MI",
"postal_code": "486611127",
"telephone_number": "989-345-5240",
"fax_number": "989-345-4513"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "CHERYL",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-01",
"last_updated": "2009-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MI",
"license": "4704103298",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "4704103298",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5181615",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS GROUP",
"identifier": "700G210140",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PIN",
"identifier": "5008770700",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5181590",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5206483",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in West Branch, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.