Individual provider Active NPI

Melanie Miller, APRN- BC

  • Family Nurse Practitioner
  • Cottonwood, AZ
National Provider Identifier
1992179741
Registry record updated Jan 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
316678 Issued in AZ
Practice address
340 S Willard St Ste 201
Cottonwood, AZ 86326-4126
Phone
(928) 634-5551
NPI assigned
Nov 17, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5376881072 KS
Family Nurse Practitioner 363LF0000X 316678 AZ Primary

Addresses

Primary practice location

340 S Willard St Ste 201
Cottonwood, AZ 86326-4126

Mailing address

PO Box 512
Bonner Springs, KS 66012-0512
Phone (877) 942-8808

Other practice location 1

128 Oak St Ste C
Bonner Springs, KS 66012-1046
Phone (877) 942-8808

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, MO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160114002870 KS Practitioner - Nurse Practitioner 9739482399 Reassigns benefits to 1 organization
I20240612001861 MO Practitioner - Nurse Practitioner 9739482399 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
82.13 of 100Reported as group
Quality
66.85
Promoting interoperability
99
Improvement activities
40
Cost
74.4

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5376881072KSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Urgent Care of Kansas CurrentSince May 5, 2024 Accepting new patients
Primary Care of Kansas Inc CurrentSince May 5, 2024 Accepting new patients

Locations

33391 Lexington Ave
Ste A
De Soto, KS 66018
Phone (913) 938-4726

314 E Main St
Ste 2
Gardner, KS 66030
Phone (913) 938-4627

10010 E Truman Rd
Independence, MO 64052
Phone (816) 252-7800

220 N State Route 7
Ste 1
Pleasant Hill, MO 64080
Phone (913) 938-4726

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1447718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737936000000",
    "number": "1992179741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 512",
            "city": "BONNER SPRINGS",
            "state": "KS",
            "postal_code": "660120512",
            "telephone_number": "877-942-8808",
            "fax_number": "877-791-9808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 S WILLARD ST STE 201",
            "city": "COTTONWOOD",
            "state": "AZ",
            "postal_code": "863264126",
            "telephone_number": "928-634-5551"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "128 Oak St Ste C",
            "address_purpose": "LOCATION",
            "city": "Bonner Springs",
            "state": "KS",
            "postal_code": "660121046",
            "country_code": "US",
            "telephone_number": "877-942-8808",
            "fax_number": "877-791-9808",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "MELANIE",
        "credential": "APRN- BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-17",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "5376881072",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "316678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cottonwood, AZ

Sources for this page

Verify at the official NPI Registry.