Martha J Miller, BC-ACNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

CNP-01641 Issued in NM

Practice address

724 Lake Dr
Santa Rosa, NM 88435-2559

Phone

(575) 472-4311

Fax

(575) 472-4313

NPI assigned

May 11, 2010

Last updated

Apr 22, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Marti J Miller Other name

Medicare fee-for-service enrollment

Enrolled in NM

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

Specialty

Nurse Practitioner

Education

University of New Mexico School of Medicine, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hospitalist Medicine Physicians of New Mexico - Clovis LLCGroup PAC ID 0345618849, 40 clinicians

Presbyterian Healthcare ServicesGroup PAC ID 9234041708, 1,390 clinicians

St Vincent HospitalGroup PAC ID 6608775135, 335 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Presbyterian Santa Fe Medical Center Hospital, Santa Fe, NM, CCN 320090
• Presbyterian Espanola Hospital Hospital, Espanola, NM, CCN 320011

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: martha.miller.1@2956.direct.athenahealth.com
• Direct secure messaging: mmiller217984@direct.phs.org

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.

• Hospitalist Medicine Physicians of New Mexico - Clovis, LLC

  • Emergency Medicine Physician
  • Hobbs, NM
  • NPI 1477031094

  Nurse Practitioner

  Medicare reassignment Care Compare group NPD
• Presbyterian Healthcare Services

  dba Presbyterian Medical Group

  • Internal Medicine Physician
  • Albuquerque, NM
  • NPI 1104802354
  Medicare reassignment Care Compare group NPD
• St Vincent Hospital

  dba CHRISTUS St. Vincent Pediatrics

  • Pediatrics Physician
  • Santa Fe, NM
  • NPI 1063367803
  Medicare reassignment Care Compare group
• Newmexidoc, PA.

  dba Railyard Urgent Care

  • Urgent Care Clinic/Center
  • Santa Fe, NM
  • NPI 1316358989
  Medicare reassignment NPD
• Taos Health Systems Inc Holy Cross Hospital

  dba Holy Cross Hospital

  • General Acute Care Hospital
  • Taos, NM
  • NPI 1194751958
  Medicare reassignment NPD
• Presbyterian Healthcare Services

  dba Presbyterian Hospital

  • General Acute Care Hospital
  • Albuquerque, NM
  • NPI 1215913470
  NPD
• Presbyterian Healthcare Services

  dba Presbyterian Santa Fe Medical Center

  • General Acute Care Hospital
  • Santa Fe, NM
  • NPI 1730684853
  NPD
• St Vincent Hospital

  dba CHRISTUS St. Vincent Regional Medical Center

  • General Acute Care Hospital
  • Santa Fe, NM
  • NPI 1578587150
  NPD
• St. Vincent Hospital

  dba CHRISTUS St. Vincent Adult and Family Care

  • Family Medicine Physician
  • Santa Fe, NM
  • NPI 1245438647
  NPD
• St. Vincent Hospital

  dba CHRISTUS St. Vincent Behavioral Health Specialists

  • Neurology Physician
  • Santa Fe, NM
  • NPI 1831493584
  NPD
• Greater Santa Rosa Council on Alcoholism

  dba Professional Counseling Associ

  • Community/Behavioral Health Agency
  • Santa Rosa, NM
  • NPI 1932313400
  NPD (past)
• Valley Emergency Physicians New Mexico PC

  • Emergency Medicine Physician
  • Clovis, NM
  • NPI 1891005534
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Presbyterian Healthcare Services

  dba Espanola Hospital

  • Rural Acute Care Hospital
  • Espanola, NM
  • NPI 1154307593
  Care Compare affiliation
• Presbyterian Healthcare Services

  dba Presbyterian Santa Fe Medical Center

  • General Acute Care Hospital
  • Santa Fe, NM
  • NPI 1730684853
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1273536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429660800000",
    "number": "1942528252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "724 LAKE DR",
            "city": "SANTA ROSA",
            "state": "NM",
            "postal_code": "884352559",
            "telephone_number": "575-472-4311",
            "fax_number": "575-472-4313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "724 LAKE DR",
            "city": "SANTA ROSA",
            "state": "NM",
            "postal_code": "884352559",
            "telephone_number": "575-472-4311",
            "fax_number": "575-472-4313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "MARTHA",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "credential": "BC-ACNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-11",
        "last_updated": "2015-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NM",
            "license": "CNP-01641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARTI",
            "last_name": "MILLER",
            "middle_name": "J",
            "prefix": "MS.",
            "credential": "BC-ACNP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Tiana Marquez, BMS
• Shanycole Martinez, BMS
• Guadalupe S Mata, CNP
• Dusty E McLain, BMS
• Krista Nanette Mericle, RN
• Sonya Mireles, BMS
• Elizabeth A Montano
• Michael Montoya, LMSW
• Nicole Montoya, CHW
• Brian T Muniz, PAC

• Nurse Practitioner in Santa Rosa, NM
• Providers in Santa Rosa, NM by specialty
• Nurse Practitioner in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.