Desiree Lynn Miller, RN FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4704268609 Issued in MI

Practice address

1364 E Shorewood Dr
Norton Shores, MI 49441-5292

Phone

(231) 206-8529

NPI assigned

Jan 26, 2023

Last updated

Jun 17, 2024By 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. Desiree Lynn Mead Former name

Medicare fee-for-service enrollment

Enrolled in MI

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

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Munson Healthcare Manistee HospitalGroup PAC ID 3072414333, 29 clinicians

Munson Medical CenterGroup PAC ID 3072426287, 377 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Munson Medical Center Hospital, Traverse City, MI, CCN 230097
• Munson Healthcare Manistee Hospital Hospital, Manistee, MI, CCN 230303
• Munson Healthcare Cadillac Hospital Hospital, Cadillac, MI, CCN 230081

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Registered Nurse

Practice roles

Locations

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.

• Munson Healthcare Manistee Hospital

  • General Acute Care Hospital
  • Manistee, MI
  • NPI 1407949191
  Medicare reassignment Care Compare group NPD
• Munson Medical Center

  dba Endocrinology and Metabolism

  • Endocrinology, Diabetes & Metabolism Physician
  • Traverse City, MI
  • NPI 1083761860
  Medicare reassignment Care Compare group NPD
• Munson Healthcare Manistee Hospital

  • Surgery Physician
  • Manistee, MI
  • NPI 1861577389
  NPD
• Munson Medical Center

  • Family Medicine Physician
  • Traverse City, MI
  • NPI 1568002004
  NPD
• Munson Medical Center

  • Psychiatric Hospital Unit
  • Traverse City, MI
  • NPI 1891586103
  NPD
• Munson Healthcare Cadillac

  dba Munson Healthcare Cadillac Urology

  • Urology Physician
  • Cadillac, MI
  • NPI 1932726577
  NPD (past)
• Munson Healthcare Manistee Hospital

  • Anesthesiology Physician
  • Manistee, MI
  • NPI 1649457771
  NPD (past)
• Munson Medical Center

  dba Urgent Care-UCN

  • Family Medicine Physician
  • Traverse City, MI
  • NPI 1881623031
  NPD (past)

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

• Munson Healthcare Cadillac

  dba Munson Healthcare Cadillac Physician Network

  • Family Medicine Physician
  • Cadillac, MI
  • NPI 1487051611

  Hospital

  Care Compare affiliation
• Munson Healthcare Cadillac

  • General Acute Care Hospital
  • Cadillac, MI
  • NPI 1841696754
  Care Compare affiliation
• Munson Healthcare Manistee Hospital

  • General Acute Care Hospital
  • Manistee, MI
  • NPI 1407949191
  Care Compare affiliation
• Munson Medical Center

  • General Acute Care Hospital
  • Traverse City, MI
  • NPI 1952307852
  Care Compare affiliation

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

{
    "created_epoch": "1674691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718582400000",
    "number": "1942916507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1364 E SHOREWOOD DR",
            "city": "NORTON SHORES",
            "state": "MI",
            "postal_code": "494415292",
            "telephone_number": "231-206-8529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1364 E SHOREWOOD DR",
            "city": "NORTON SHORES",
            "state": "MI",
            "postal_code": "494415292",
            "telephone_number": "231-206-8529"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5085 Anna Dr Ste B&c",
            "address_purpose": "LOCATION",
            "city": "Traverse City",
            "state": "MI",
            "postal_code": "496847475",
            "country_code": "US",
            "telephone_number": "231-935-5900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "DESIREE",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "RN FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-26",
        "last_updated": "2024-06-17",
        "certification_date": "2024-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704268609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DESIREE",
            "last_name": "MEAD",
            "middle_name": "LYNN",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ayanna Mendieta
• Mercy Health Partners (Trinity Health Boutique - Lakes Village)
• Derek Thomas Meyers, OD
• Amy Elizabeth Milito, D.O.
• Alex Miller
• Dustin Miller, M.D.
• Jacob Miller, DPT
• John Clarke Miller
• Kasey Mae Mix
• Jeffrey Montagne, PT, DPT, ATC

• Family Nurse Practitioner in Norton Shores, MI
• Providers in Norton Shores, MI by specialty
• Family Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2024; 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.