Individual provider Active NPI

Marcella Irene Miller, RN, MS(ED.) FNP-BC

  • Acute Care Nurse Practitioner
  • Arlington, TX
National Provider Identifier
1962950113
Registry record updated Jan 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
1058064 Issued in TX
Practice address
911 Medical Centre Dr Ste C
Arlington, TX 76012-4758
Phone
(817) 461-0201
Fax
(817) 861-3365
NPI assigned
Sep 16, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1058064 TX
Nurse Practitioner 363L00000X 71006614A IN
Acute Care Nurse Practitioner 363LA2100X 1058064 TX Primary

Addresses

Primary practice location

911 Medical Centre Dr Ste C
Arlington, TX 76012-4758

Mailing address

2016 S Main St
Goshen, IN 46526-5236

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20220128000851 TX Practitioner - Nurse Practitioner 5193004422 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Pulmonary and Critical Care Consultants PAGroup PAC ID 0840198818, 57 clinicians

Practice addresses (Care Compare)

1201 Fairmount Ave
Fort Worth, TX 76104-4215
Phone (817) 335-5288

Hospital & facility affiliations

  • Texas Health Harris Methodist Fort Worth Hospital, Fort Worth, TX, CCN 450135
  • Texas Health Heart & Vascular Hospital Arlington Hospital, Arlington, TX, CCN 670071
  • Texas Health Harris Methodist Hospital Southwest F Hospital, Fort Worth, TX, CCN 450779
  • Medical City Arlington Hospital, Arlington, TX, CCN 450675
  • Texas Health Arlington Memorial Hospital Hospital, Arlington, TX, CCN 450064

Merit-based Incentive Payment System (MIPS)

Final score
92.25 of 100Reported as group
Promoting interoperability
85
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71006614AINMDNurse Practitioner
1058064TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Pulmonary & Critical Care Consultants, PA CurrentSince Jan 3, 2022 Accepting new patients
Cardiovascular Care Providers, Inc. PastSince Feb 1, 2022 Accepting new patients
Tarrant Pulmonary Associates LLC PastSince Nov 1, 2022 Accepting new patients
Texas Pulmonary & Critical Care Consultants, PA PastSince Jan 3, 2022 Accepting new patients

Locations

911 Medical Centre Dr
Ste C
Arlington, TX 76012
Phone (817) 461-0201

515 W Mayfield Rd
Ste 240
Arlington, TX 76014
Phone (469) 301-1725

601 Omega Dr
Ste 208
Arlington, TX 76014
Phone (817) 465-5881

1201 Fairmount Ave
Fort Worth, TX 76104
Phone (817) 335-5288

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BHHJCD
  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.72070

Organizations & group practices 4

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.

Hospital & facility affiliations 5

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": "1473984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643328000000",
    "number": "1962950113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2016 S MAIN ST",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465265236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 MEDICAL CENTRE DR STE C",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760124758",
            "telephone_number": "817-461-0201",
            "fax_number": "817-861-3365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "MARCELLA",
        "middle_name": "IRENE",
        "name_prefix": "Mrs.",
        "credential": "RN, MS(ED.) FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-16",
        "last_updated": "2022-01-28",
        "certification_date": "2022-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1058064",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71006614A",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "1058064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

Verify at the official NPI Registry.