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MAKENZI LANE MILLER PA-C
NPI 1104581644
Physician Assistant - Medical in Moore, OK

Active since October 31, 2021PECOS Enrolled
1060 SW 4TH ST, MOORE, OK 73160(405) 378-5491(405) 378-5492 Get Directions Write a Review

NPPES record last updated: December 23, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Makenzi Lane Miller Pa-c NPPES

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

MAKENZI LANE MILLER PA-C (NPI 1104581644) is an individual medical provider in Moore, Oklahoma, licensed in Oklahoma (4676) and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104581644
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMAKENZI LANE MILLERCredential: PA-C
Location Address1060 SW 4TH STMoore, OK 73160-2494
Mailing Address1060 Sw 4th StMoore, OK 73160-2494 · (405) 378-5491 · Fax (405) 378-5492
Phone(405) 378-5491
Fax(405) 378-5492
Sole ProprietorNo
Enumeration DateOctober 31, 2021
Last NPPES UpdateDecember 23, 2021
NPPES CertifiedDecember 23, 2021
✔ NPI 1104581644 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in OK · 4676
1060 SW 4TH ST, Moore, OK 73160
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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)

Makenzi Lane Miller Pa-c 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 9

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

DR. SARAH ELIZABETH COX DO
Family Medicine
1060 SW 4TH ST
MOORE, OK 73160
Cleveland County (405) 378-5491
CHANDLAR MARIA VAZQUEZ MD
Family Medicine
1060 SW 4TH ST
MOORE, OK 73160
Cleveland County (405) 378-5491
DR. KYLE R JUDKINS M.D.
General Practice
1060 SW 4TH ST
MOORE, OK 73160
Cleveland County (405) 378-5491
MRS. BEVERLY ANN CLARK APRN-CNP
Nurse Practitioner (Family)
1060 SW 4TH ST
MOORE, OK 73160
Cleveland County (405) 378-5491
MISTY DAWN HSIEH MD
Family Medicine
1060 SW 4TH ST
MOORE, OK 73160
Cleveland County (405) 378-5491
ROSA KIM YOUNG PA-C
Physician Assistant
1060 SW 4TH ST
MOORE, OK 73160
Cleveland County (405) 302-2661
DR. CERISSA KALANI KEY D.O.
Pediatrics
1060 SW 4TH ST
MOORE, OK 73160
Cleveland County (405) 378-5491
ABEL JOSUE ARZU PA-C
Physician Assistant
1060 SW 4TH ST
MOORE, OK 73160
Cleveland County (405) 378-5726

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 Makenzi Miller's NPI number?

The NPI number for Makenzi Miller is 1104581644. It was assigned to this individual provider in the NPPES registry on October 31, 2021.

Where is Makenzi Miller located?

Makenzi Miller practices at 1060 SW 4th St, Moore, OK 73160. The listed phone number is (405) 378-5491.

What is Makenzi Miller's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Makenzi Miller enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Makenzi Miller was last updated on December 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.