CARMEN L MILLER
NPI 1104339001
Nurse Practitioner - Family in Waupaca, WI

Active since November 14, 2017PECOS EnrolledAccepts Medicare Assignment
710 RIVERSIDE DR, WAUPACA, WI 54981(715) 256-3000(715) 256-3079 Get Directions Write a Review

NPPES record last updated: February 19, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 19, 2018, Nov 14, 2017 (2 updates tracked since 2017).

About Carmen L Miller NPPES

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

CARMEN L MILLER (NPI 1104339001) is an individual family provider in Waupaca, Wisconsin, licensed in Wisconsin (8238) and active in the NPI registry since November 2017. She is enrolled in Medicare PECOS, is affiliated with Thedacare Regional Med Ctr - Neenah, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1104339001
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCARMEN L MILLER
Location Address710 RIVERSIDE DRWaupaca, WI 54981-1941
Mailing Address122 E College AveAppleton, WI 54911-5794 · (920) 996-3264 · Fax (920) 830-5910
Fax(715) 256-3079
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateNovember 14, 2017
Last NPPES UpdateFebruary 19, 20182 updates tracked since enumeration
NPI 1104339001 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in WI · 8238
Also ListedRegistered NurseTaxonomy 163W00000X · License 159127 (WI)
710 RIVERSIDE DR, Waupaca, WI 54981

Accepted Insurance

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

Carmen L Miller 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 ID6002177417
PECOS Enrollment IDI20180228000208
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.

Areas of Expertise CMS Part B claims 7

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
82 services78 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
28 services27 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
27 services18 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
21 services20 patients
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc U0002
This refers to a test for COVID-19, caused by the SARS-CoV-2 virus. The test identifies multiple types or subtypes of the virus, including all targets. It's not specifically based on the CDC's testing protocol. It helps determine if you're currently infected with the virus.
15 services15 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
12 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Thedacare Regional Med Ctr - Neenah

Acute Care Hospitals · Neenah, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520045
Location130 2nd StNeenah, WI 54956 · Winnebago County
Emergency services Birthing friendly

Thedacare Medical Center - Wild Rose

Critical Access Hospitals · Wild Rose, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521303
Location601 Grove AveWild Rose, WI 54984 · Waushara County
Emergency services

Thedacare Medical Center-Waupaca

Critical Access Hospitals · Waupaca, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521334
Location800 Riverside DriveWaupaca, WI 54981 · Waupaca County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54981 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

Family Medicine
710 RIVERSIDE DR
WAUPACA, WI 54981
Physician Assistant
710 RIVERSIDE DR
WAUPACA, WI 54981
Family Medicine
710 RIVERSIDE DR
WAUPACA, WI 54981
Nurse Practitioner (Family)
710 RIVERSIDE DR
WAUPACA, WI 54981
Family Medicine
710 RIVERSIDE DR
WAUPACA, WI 54981
Family Medicine
710 RIVERSIDE DR
WAUPACA, WI 54981
Physician Assistant (Medical)
710 RIVERSIDE DR
WAUPACA, WI 54981
Nurse Practitioner (Family)
710 RIVERSIDE DR
WAUPACA, WI 54981

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 Carmen Miller's NPI number?

The NPI number for Carmen Miller is 1104339001. It was assigned to this individual provider in the NPPES registry on November 14, 2017.

Where is Carmen Miller located?

Carmen Miller practices at 710 Riverside Dr, Waupaca, WI 54981. The listed phone number is (715) 256-3000.

What is Carmen Miller's specialty?

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

Is Carmen Miller enrolled in Medicare?

Yes. Carmen 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.

What insurance does Carmen Miller accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and Network Health and 2 other insurers list Carmen 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.

Is Carmen Miller affiliated with any hospitals?

According to CMS data, Carmen Miller is affiliated with Thedacare Regional Med Ctr - Neenah, Thedacare Medical Center - Wild Rose and Thedacare Medical Center-Waupaca.

When was this NPI record last updated?

The NPPES record for Carmen Miller was last updated on February 19, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.