Katrina Leanne Miller, APRN-WHNP

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

2019010518 Issued in MO

Practice address

741 S Walnut St
Bernie, MO 63822-8900

Phone

(573) 293-6836

NPI assigned

Nov 20, 2017

Last updated

Mar 12, 2020By 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

Medicare fee-for-service enrollment

Enrolled in LA

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

Georgetown University School of Medicine, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Primary Health Services CenterGroup PAC ID 2062300858, 16 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Fmol Health St Francis Hospital, Monroe, LA, CCN 190125

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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.

• Primary Health Services Center

  dba PHSC DeSiard Street Clinic

  • Federally Qualified Health Center (FQHC)
  • Monroe, LA
  • NPI 1043315286
  Medicare reassignment Care Compare group NPD
• Primary Health Services Center

  dba PHSC Wellness Center

  • Federally Qualified Health Center (FQHC)
  • Monroe, LA
  • NPI 1316291495
  NPD
• Primary Health Services Center

  dba PHSC West Monroe Family Health Center

  • Federally Qualified Health Center (FQHC)
  • West Monroe, LA
  • NPI 1104384205
  NPD (past)

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

• St Francis Medical Center, Inc

  • General Acute Care Hospital
  • Monroe, LA
  • NPI 1295723229
  Care Compare affiliation

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

{
    "created_epoch": "1511136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583971200000",
    "number": "1972017416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6738 STATE HIGHWAY 77",
            "city": "BENTON",
            "state": "MO",
            "postal_code": "637368238",
            "telephone_number": "573-313-2500",
            "fax_number": "573-313-2505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "741 S WALNUT ST",
            "city": "BERNIE",
            "state": "MO",
            "postal_code": "638228900",
            "telephone_number": "573-293-6836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "KATRINA",
        "middle_name": "LEANNE",
        "credential": "APRN-WHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-20",
        "last_updated": "2020-03-12",
        "certification_date": "2020-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "MO",
            "license": "2019010518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tari D. Cupp, MCD, CCC-SLP
• Cara M Dillinger, NP-C
• Brandy Susanne Heinley, FNP-BC
• Karaline Alynn Keirsey, COTA/L
• Shelby Lawrence
• Daley M Powers, DENTAL HYGENTIST
• Ronna Reaves
• Southeast Health Center of Stoddard County LLC (Mercy Hospital Stoddard)
• Southeast Missouri Health Network (Bernie Medical Center)
• Southeast Missouri Health Network (BERNIE DENTAL Clinic)

• Women's Health Nurse Practitioner in Bernie, MO
• Providers in Bernie, MO by specialty
• Women's Health Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2020; 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.