Martha J Miller, BC-ACNP
Individual provider Active NPI Nurse Practitioner · Santa Rosa, NM
NPI 1942528252 · NPPES record last updated Apr 22, 2015
Key facts
- NPI
- 1942528252
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- CNP-01641 (NM)
- Practice address
- 724 Lake Dr
Santa Rosa, NM 88435-2559 - Phone
- (575) 472-4311
- Fax
- (575) 472-4313
- NPI assigned
- May 11, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 17
Hospital & facility affiliations 2
Medicare Care Compare profile
- 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 LLC
Presbyterian Healthcare Services
St Vincent Hospital
Practice addresses (Care Compare)
4801 Beckner Rd
Santa Fe, NM 87507-3641
Phone (505) 772-1234
5501 Herrera Dr
B
Santa Fe, NM 87507-2684
Phone (505) 913-4180
Hospital & facility affiliations
- Presbyterian Santa Fe Medical Center
- Presbyterian Espanola Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NM
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110126001014 | NM | Practitioner - Nurse Practitioner | 3678752326 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Presbyterian Healthcare Services | Current | Accepting new patients | |
| St. Vincent Hospital | Current |
Accepting new patients | |
| Taos Health Systems Inc Holy Cross Hospital | Current |
Accepting new patients | |
| Newmexidoc, PA. | Current |
Accepting new patients | |
| St Vincent Hospital | Current | Accepting new patients | |
| Hospitalist Medicine Physicians of New Mexico - Clovis, LLC | Nurse Practitioner | Current |
Accepting new patients |
| St. Vincent Hospital | Current |
Accepting new patients | |
| Presbyterian Healthcare Services | Current |
Accepting new patients | |
| Presbyterian Healthcare Services | Current |
Accepting new patients | |
| Valley Emergency Physicians New Mexico PC | Past | Accepting new patients | |
| Greater Santa Rosa Council on Alcoholism | Past | Accepting new patients |
Locations
1010 Spruce St
Espanola, NM 87532
Phone (505) 367-0340
4900 N Lovington Hwy
Hobbs, NM 88240
Phone (575) 492-5000
831 S Saint Francis Dr
Santa Fe, NM 87505
Phone (505) 501-7791
4801 Beckner Rd
Santa Fe, NM 87507
Phone (505) 772-1234
1631 Hospital Dr
Ste 240
Santa Fe, NM 87505
Phone (505) 913-3975
5501 Herrera Dr
#B
Santa Fe, NM 87507
Phone (505) 913-4180
465 Saint Michaels Dr
Ste 200
Santa Fe, NM 87505
Phone (505) 995-4901
465 Saint Michaels Dr
Ste 200
Santa Fe, NM 87505
Phone (505) 995-4901
455 Saint Michaels Dr
Santa Fe, NM 87505
Phone (505) 913-3361
4801 Beckner Rd
#F
Santa Fe, NM 87507
Phone (505) 772-1234
1397 Weimer Rd
Taos, NM 87571
Phone (575) 751-5746
630 Paseo del Pueblo Sur
Ste 150
Taos, NM 87571
Phone (505) 758-3005
Interoperability endpoints
- martha.miller.1@2956.direct.athenahealth.com
- mmiller217984@direct.phs.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | CNP-01641 | NM | Yes |
Addresses
Primary practice location
724 Lake Dr
Santa Rosa, NM 88435-2559
Mailing address
724 Lake Dr
Santa Rosa, NM 88435-2559
Phone (575) 472-4311
Other names
- Ms. Marti J Miller
Other providers in Santa Rosa, NM
- Tiana Marquez
- Shanycole Martinez
- Guadalupe S Mata
- Dusty E McLain
- Krista Nanette Mericle
- Sonya Mireles
- Elizabeth A Montano
- Michael Montoya
- Nicole Montoya
- Brian T Muniz
All providers in Santa Rosa, NM · Nurse Practitioner in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 22, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.