CLEMENTINE MILLER ADULT NP
NPI 1013306455
Nurse Practitioner - Adult Health in Latham, NY

Active since January 22, 2015PECOS EnrolledAccepts Medicare Assignment
1205 TROY SCHENECTADY RD STE 101, LATHAM, NY 12110(518) 348-3176 Get Directions Write a Review

NPPES record last updated: October 24, 2019. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Clementine Miller Adult Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CLEMENTINE MILLER ADULT NP (NPI 1013306455) is an individual adult health provider in Latham, New York, licensed in New York (307173) and active in the NPI registry since January 2015. She is enrolled in Medicare PECOS, is affiliated with St Peter's Hospital, and maintains a secondary practice location in Schenectady.

NPPES Registry Identity

NPI1013306455
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameCLEMENTINE MILLERCredential: ADULT NP
Location Address1205 TROY SCHENECTADY RD STE 101Latham, NY 12110-1074
Mailing Address3217 Phillip StSchenectady, NY 12306-1420 · (617) 838-5375
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJanuary 22, 2015
Last NPPES UpdateOctober 24, 2019
NPI 1013306455 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License Licensed in NY · 307173
1205 TROY SCHENECTADY RD STE 101, Latham, NY 12110

Secondary Practice Location 1

Location 1214 State StSchenectady, NY 12305-1806 · Phone (518) 688-8611

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Clementine Miller Adult Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7618297300
PECOS Enrollment IDI20150520001734
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Peter's Hospital

Acute Care Hospitals · Albany, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330057
Location315 South Manning BoulevardAlbany, NY 12208 · Albany County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12110 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
1205 TROY SCHENECTADY RD STE 101
LATHAM, NY 12110
Physician Assistant
1205 TROY SCHENECTADY RD STE 101
LATHAM, NY 12110
Physician Assistant
1205 TROY SCHENECTADY RD STE 101
LATHAM, NY 12110
Family Medicine
1205 TROY SCHENECTADY RD STE 101
LATHAM, NY 12110
Physician Assistant
1205 TROY SCHENECTADY RD STE 101
LATHAM, NY 12110
Nurse Practitioner (Family)
1205 TROY SCHENECTADY RD STE 101
LATHAM, NY 12110
Nurse Practitioner (Psychiatric/Mental Health)
1205 TROY SCHENECTADY RD STE 101
LATHAM, NY 12110
Emergency Medicine
1205 TROY SCHENECTADY RD STE 101
LATHAM, NY 12110

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Clementine Miller's NPI number?

The NPI number for Clementine Miller is 1013306455. It was assigned to this individual provider in the NPPES registry on January 22, 2015.

Where is Clementine Miller located?

Clementine Miller practices at 1205 Troy Schenectady Rd Ste 101, Latham, NY 12110. The listed phone number is (518) 348-3176.

What is Clementine Miller's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Clementine Miller enrolled in Medicare?

Yes. Clementine Miller is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Clementine Miller affiliated with any hospitals?

According to CMS data, Clementine Miller is affiliated with St Peter's Hospital.

When was this NPI record last updated?

The NPPES record for Clementine Miller was last updated on October 24, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.