MS. MARY THERESE MILLER ARNP/FNP
NPI 1063486694
Nurse Practitioner - Family in Minnetonka, MN

Q: What is Mary Miller's NPI number?

The NPI number for Mary Miller is 1063486694. It was assigned to this individual provider in the NPPES registry on February 13, 2006.

Q: What is Mary Miller's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Mary Miller was last updated on September 8, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since February 13, 2006PECOS Enrolled

9900 BREN RD E, MINNETONKA, MN 55343(425) 238-1192 Get Directions Write a Review

NPPES record last updated: September 8, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Ms. Mary Therese Miller Arnp/fnp NPPES

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

MS. MARY THERESE MILLER ARNP/FNP (NPI 1063486694) is an individual family provider in Minnetonka, Minnesota, licensed in Washington (AP30006353) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063486694

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMS. MARY THERESE MILLERCredential: ARNP/FNP

Location Address9900 BREN RD EMinnetonka, MN 55343-9664

Mailing Address256 Ne Tronson CirBremerton, WA 98311-4500 · (206) 227-4060

Phone(425) 238-1192

Sole ProprietorNo

Enumeration DateFebruary 13, 2006

Last NPPES UpdateSeptember 8, 2020

NPPES CertifiedSeptember 8, 2020

✔ NPI 1063486694 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in WA · AP30006353

9900 BREN RD E, Minnetonka, MN 55343

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Mary Therese Miller Arnp/fnp 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 55343 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

$85.82 typical visit price

range $56.00 – $168.28

Typical copayment $21.45 (range $14.00 – $42.07)

Most-billed visit code 99203

Established Patient

$98.61 typical visit price

range $18.32 – $138.04

Typical copayment $24.65 (range $4.58 – $34.51)

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.