Individual provider Active NPI

Billie Denton-Miller, NP-C

  • Nurse Practitioner
  • Wauseon, OH
National Provider Identifier
1912312422
Registry record updated Jan 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
COA.16009-NP Issued in OH
Practice address
735 S Shoop Ave
Wauseon, OH 43567-1735
Phone
(419) 335-3242
Fax
(419) 335-3222
NPI assigned
Jun 23, 2014
Last updated
Jan 8, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X COA.16009-NP OH Primary

Addresses

Primary practice location

735 S Shoop Ave
Wauseon, OH 43567-1735

Mailing address

735 S Shoop Ave
Wauseon, OH 43567-1735
Phone (419) 335-3242

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20140811002281 OH Practitioner - Nurse Practitioner 4385861624 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
FCHC Medical Care, LLCGroup PAC ID 8022018704, 58 clinicians

Practice addresses (Care Compare)

735 S Shoop Ave
Suite 4
Wauseon, OH 43567-1735
Phone (419) 335-3242

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
COA.16009-NPOHMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
FCHC Medical Care, LLC CurrentSince Jun 16, 2014 Accepting new patients

Locations

L3493
Columbus, OH 43260

L4133
Columbus, OH 43260

124 W Main St
Fayette, OH 43521
Phone (419) 237-2501

725 S Shoop Ave
Wauseon, OH 43567
Phone (419) 335-2015

735 S Shoop Ave
Wauseon, OH 43567
Phone (419) 335-2663

735 S Shoop Ave
Ste 4
Wauseon, OH 43567
Phone (419) 335-3242

Interoperability endpoints

  • Direct secure messaging: billie.denton-miller@fultoncounty.medicity.net

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

Hospital & facility affiliations 3

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": "1403481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452211200000",
    "number": "1912312422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "735 S SHOOP AVE",
            "city": "WAUSEON",
            "state": "OH",
            "postal_code": "435671735",
            "telephone_number": "419-335-3242",
            "fax_number": "419-335-3222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 S SHOOP AVE",
            "city": "WAUSEON",
            "state": "OH",
            "postal_code": "435671735",
            "telephone_number": "419-335-3242",
            "fax_number": "419-335-3222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENTON-MILLER",
        "first_name": "BILLIE",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-23",
        "last_updated": "2016-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "COA.16009-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wauseon, OH

Sources for this page

Verify at the official NPI Registry.