Active NPI
Matthew J Miller, NP
- Acute Care Nurse Practitioner
- Paducah, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 3018712
- Practice address
- 200 Clint Hill Blvd
Paducah, KY 42001-6768 - Phone
- (270) 442-9461
- Fax
- (270) 441-0079
- NPI assigned
- Jul 12, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Clinical Nurse Specialist | 364SA2100X | 209023573 | IL | |
| Acute Care Nurse Practitioner | 363LA2100X | 3018712 | KY | Primary |
Addresses
Primary practice location
200 Clint Hill Blvd
Paducah, KY 42001-6768
Mailing address
200 Clint Hill Blvd
Paducah, KY 42001-6768
Phone (270) 442-9461
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210824002006 | IL | Practitioner - Nurse Practitioner | 5395140727 | Reassigns benefits to 2 organizations |
| I20230301000927 | KY | Practitioner - Nurse Practitioner | 5395140727 | Reassigns benefits to 4 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Southeastern Physician Services PCBaptist Health Medical Group Inc
Practice addresses (Care Compare)
2501 Kentucky Ave
Paducah, KY 42003-3813
Phone (270) 575-2100
546 Lone Oak Rd
Paducah, KY 42003-4526
Phone (270) 442-3647
Hospital & facility affiliations
- Baptist Health Paducah
- Jackson Purchase Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 62.45 of 100
- Quality
- 50.17
- Promoting interoperability
- 100
- Improvement activities
- 0
- Cost
- 74.66
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209023573 | IL | MD | Acute Care Clinical Nurse Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Health Physicians Kentucky Specialty Care LLC | Current | Accepting new patients | |
| Orthopaedic Institute of Western Kentucky PLLC | Current | Accepting new patients | |
| Mercy Health Physicians Kentucky Specialty Care LLC | Current | Accepting new patients | |
| Baptist Health Medical Group Inc | Current | Accepting new patients | |
| Baptist Health Medical Group Inc | Current | Accepting new patients | |
| App of Illinois Ed PLLC | Current | Accepting new patients | |
| Southeastern Physician Services PC | Current | Accepting new patients | |
| Mercy Health Physicians Kentucky LLC | Past | Accepting new patients |
Locations
3333 W Deyoung St
Marion, IL 62959
Phone (618) 998-7020
1811 E 5th St
Metropolis, IL 62960
Phone (270) 442-9461
1324 N Sheridan Rd
Waukegan, IL 60085
Phone (847) 360-3000
310 S Limestone
Lexington, KY 40508
Phone (606) 252-6612
2603 Kentucky Ave
Ste 304
Paducah, KY 42003
Phone (270) 415-4800
546 Lone Oak Rd
Paducah, KY 42003
Phone (270) 441-4777
2501 Kentucky Ave
Paducah, KY 42003
Phone (270) 575-2180
1532 Lone Oak Rd
Ste 320
Paducah, KY 42003
Phone (270) 415-3830
200 Clint Hill Blvd
Paducah, KY 42001
Phone (270) 442-9461
100 Clint Hill Blvd
Paducah, KY 42001
Phone (270) 442-9461
360 Amsden Ave
Versailles, KY 40383
Phone (606) 873-3111
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 9
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.
-
- Orthopaedic Surgery Physician
- Paducah, KY
- NPI 1497425177
IL, KY
-
- Internal Medicine Physician
- Elizabethtown, KY
- NPI 1093338527
-
- Rural Health Clinic/Center
- Dawson Springs, KY
- NPI 1982178216
-
- Durable Medical Equipment & Medical Supplies
- Paducah, KY
- NPI 1043088347
-
- Family Medicine Physician
- Paducah, KY
- NPI 1922243690
Hospital & facility affiliations 2
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": "1626048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704672000000",
"number": "1962074898",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 CLINT HILL BLVD",
"city": "PADUCAH",
"state": "KY",
"postal_code": "420016768",
"telephone_number": "270-442-9461",
"fax_number": "270-441-0079"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 CLINT HILL BLVD",
"city": "PADUCAH",
"state": "KY",
"postal_code": "420016768",
"telephone_number": "270-442-9461",
"fax_number": "270-441-0079"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "MATTHEW",
"middle_name": "J",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-07-12",
"last_updated": "2024-01-08",
"certification_date": "2024-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "364SA2100X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Acute Care",
"state": "IL",
"license": "209023573",
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "KY",
"license": "3018712",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Paducah, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 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.