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

Q: 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.

Q: What is Clementine Miller's specialty?

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

Q: 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.

Active since January 22, 2015PECOS Enrolled

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 09, 2026.

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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 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

Phone(518) 348-3176

Sole ProprietorNo

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

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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 (PECOS)

Clementine Miller Adult Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

LAUREN M CABANA PA

Physician Assistant