MRS. ANDREA MARIE MILLER R.D., L.D.
NPI 1063796365
Dietitian, Registered in Archbold, OH

Active since October 05, 2011
121 WESTFIELD DR STE 1, ARCHBOLD, OH 43502(419) 445-2015(419) 445-8102 Get Directions Write a Review

NPPES record last updated: May 12, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mrs. Andrea Marie Miller R.d., L.d. NPPES

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

MRS. ANDREA MARIE MILLER R.D., L.D. (NPI 1063796365) is an individual dietitian, registered in Archbold, Ohio, licensed in Ohio (LD.6803) and active in the NPI registry since October 2011.

NPPES Registry Identity

NPI1063796365
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameMRS. ANDREA MARIE MILLERCredential: R.D., L.D.
Location Address121 WESTFIELD DR STE 1Archbold, OH 43502-1005
Mailing Address11109 Parkview Plaza Dr # 117Fort Wayne, IN 46845-1701
Fax(419) 445-8102
Sole ProprietorNo
Enumeration DateOctober 5, 2011
Last NPPES UpdateMay 12, 2026
NPPES CertifiedMay 12, 2026
✔ NPI 1063796365 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License✔ Licensed in OH · LD.6803
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
121 WESTFIELD DR STE 1, Archbold, OH 43502

Other Names 1

Former Name (1)Miss Andrea Marie Pietrykowski R.d., L.d.

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Andrea Marie Miller R.d., L.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

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

Family Medicine
442 W HIGH ST
Bryan, OH 43506
  • Reassigned Medicare billing, Ohio enrollment
  • 133 clinicians in this Medicare group

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

Other Providers at the Same Location NPPES 9

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

Dietitian, Registered
121 WESTFIELD DR STE 1
ARCHBOLD, OH 43502
Family Medicine
121 WESTFIELD DR STE 1
ARCHBOLD, OH 43502
Nurse Practitioner
121 WESTFIELD DR STE 1
ARCHBOLD, OH 43502
Family Medicine
121 WESTFIELD DR STE 1
ARCHBOLD, OH 43502
Family Medicine
121 WESTFIELD DR STE 1
ARCHBOLD, OH 43502
Nurse Practitioner (Family)
121 WESTFIELD DR STE 1
ARCHBOLD, OH 43502
Nurse Practitioner
121 WESTFIELD DR STE 1
ARCHBOLD, OH 43502
Physician Assistant
121 WESTFIELD DR STE 1
ARCHBOLD, OH 43502

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 Andrea Miller's NPI number?

The NPI number for Andrea Miller is 1063796365. It was assigned to this individual provider in the NPPES registry on October 5, 2011. The provider is also known as Miss Andrea Marie Pietrykowski R.D., L.D..

Where is Andrea Miller located?

Andrea Miller practices at 121 Westfield Dr Ste 1, Archbold, OH 43502. The listed phone number is (419) 445-2015.

What is Andrea Miller's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Andrea Miller enrolled in Medicare?

Yes. Andrea Miller is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Andrea Miller's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andrea Miller reassigns Medicare benefits to Midwest Community Health Associates, Inc. (Bryan, OH). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Andrea Miller's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Andrea Miller accept?

Health plans from Anthem Blue Cross and Blue Shield and CareSource list Andrea Miller as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Andrea Miller was last updated on May 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.