KELLY B MILLER
NPI 1023711363
Nurse Practitioner in Wilmington, NC

Q: What is Kelly Miller's NPI number?

The NPI number for Kelly Miller is 1023711363. It was assigned to this individual provider in the NPPES registry on March 24, 2023.

Q: What is Kelly Miller's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Miller was last updated on March 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 March 24, 2023PECOS Enrolled

2334 41ST ST, WILMINGTON, NC 28403(910) 641-4095 Get Directions Write a Review

NPPES record last updated: March 28, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 28, 2023, Mar 24, 2023 (2 updates tracked since 2023).

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About Kelly B Miller NPPES

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

KELLY B MILLER (NPI 1023711363) is an individual nurse practitioner in Wilmington, North Carolina, licensed in North Carolina (5017849) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023711363

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameKELLY B MILLER

Location Address2334 41ST STWilmington, NC 28403-5502

Mailing Address1923 Silver Spoon RdEvergreen, NC 28438-6002 · (910) 770-1064

Phone(910) 641-4095

Sole ProprietorNo

Enumeration DateMarch 24, 2023

Last NPPES UpdateMarch 28, 20232 updates tracked since enumeration

NPPES CertifiedMarch 28, 2023

✔ NPI 1023711363 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in NC · 5017849

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

2334 41ST ST, Wilmington, NC 28403

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelly B Miller 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.

Medicare Billing Reassignment

Medicare enrollment records show Kelly Miller reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Liberty Healthcare Group, LLC

0.1 mi

Case Management

2550 S 41ST ST
Wilmington, NC 28403

Reassigned Medicare billing, North Carolina enrollment
27 clinicians in this Medicare group

NPI 1629217856 (910) 362-9311

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes 99350

An established patient home visit is a service where a healthcare professional visits a patient's home for a check-up or treatment. The visit typically lasts for about an hour. This service is especially beneficial for patients who may have difficulty traveling to a healthcare facility.

19 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28403 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

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

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 8

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

MORGANNE LEIGH REYES FNP

Nurse Practitioner (Family)