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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MCKAYLA LOREN MILLER
NPI 1104525419
General Practice in Tacoma, WA

Active since February 24, 2023PECOS Enrolled
9040 JACKSON AVE, TACOMA, WA 98431(253) 968-0770 Get Directions Write a Review

NPPES record last updated: September 1, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Sep 1, 2026, Feb 10, 2025, Feb 5, 2025 and 1 more (4 updates tracked since 2023).

About Mckayla Loren Miller NPPES

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

MCKAYLA LOREN MILLER (NPI 1104525419) is an individual general practice provider in Tacoma, Washington, licensed in Idaho (5181721) and active in the NPI registry since February 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104525419
Entity TypeIndividualFemale
Primary Taxonomy208D00000X
Provider Legal NameMCKAYLA LOREN MILLER
Location Address9040 JACKSON AVETacoma, WA 98431-5888
Mailing Address9040 Jackson AveTacoma, WA 98431-5888
Phone(253) 968-0770
Sole ProprietorNo
Enumeration DateFebruary 24, 2023
Last NPPES UpdateSeptember 1, 20264 updates tracked since enumeration
NPPES CertifiedSeptember 1, 2026
✔ NPI 1104525419 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in ID · 5181721
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
9040 JACKSON AVE, Tacoma, WA 98431
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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)

Mckayla Loren 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.

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.

MICHAEL JOHN MEANS CRNA
Nurse Anesthetist, Certified Registered
9040 JACKSON AVE
TACOMA, WA 98431
Pierce County (253) 968-2235
DR. ADAM CLAY PERKINS PH.D.
Psychologist (Clinical)
9040 JACKSON AVE
TACOMA, WA 98431
Pierce County (253) 968-3071
GABRIELLE ABRAHAMSEN DPT
Physical Therapist
9040 JACKSON AVE
TACOMA, WA 98431
Pierce County (253) 968-2220
KENNY VAN LE MD
Anesthesiology
9040 JACKSON AVE
TACOMA, WA 98431
Pierce County (253) 968-1110
MR. ANDREW J IRIZARRY DNP, CRNA
Nurse Anesthetist, Certified Registered
9040 JACKSON AVE
TACOMA, WA 98431
Pierce County (330) 509-3934
MATTHEW LIBID CRNA
Nurse Anesthetist, Certified Registered
9040 JACKSON AVE
TACOMA, WA 98431
Pierce County (203) 768-5053
DR. SALEEM M CHOUDRY
General Practice
9040 JACKSON AVE
TACOMA, WA 98431
Pierce County (253) 968-2462
COURTNEY LAVIN
General Practice
9040 JACKSON AVE
TACOMA, WA 98431
Pierce County (253) 968-1790

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 Mckayla Miller's NPI number?

The NPI number for Mckayla Miller is 1104525419. It was assigned to this individual provider in the NPPES registry on February 24, 2023.

Where is Mckayla Miller located?

Mckayla Miller practices at 9040 Jackson Ave, Tacoma, WA 98431. The listed phone number is (253) 968-0770.

What is Mckayla Miller's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Mckayla Miller enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Mckayla Miller was last updated on September 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 36 days 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.