MELANIE ROSE MILLER CNM
NPI 1154672145
Advanced Practice Midwife in Sylvania, OH

NPI Status: Active since October 01, 2012

Contact Information

5308 HARROUN RD
SUITE 175
SYLVANIA, OH
ZIP 43560
Phone: (419) 824-5608
Fax: (419) 882-3686

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  • Individual
  • Female
  • Advanced Practice Midwife
  • Accepts Insurance
  • PECOS Enrolled

About MELANIE MILLER

This page provides the complete NPI Profile along with additional information for Melanie Miller, a provider established in Sylvania, Ohio with a medical specialization in Advanced Practice Midwife. The healthcare provider is registered in the NPI registry with number 1154672145 assigned on October 2012. The practitioner's primary taxonomy code is 367A00000X with license number 236429 (CA). The provider is registered as an individual and her NPI record was last updated one year ago.

NPI
1154672145
Provider Name
MELANIE ROSE MILLER CNM
Gender
Female
Entity Type
Individual
Location Address
5308 HARROUN RD SUITE 175 SYLVANIA, OH 43560
Location Phone
(419) 824-5608
Location Fax
(419) 882-3686
Mailing Address
409 N HAYWORTH AVE APT 209 LOS ANGELES, CA 90048
Mailing Phone
(419) 290-1499
Is Sole Proprietor?
Yes
Enumeration Date
10-01-2012
Last Update Date
04-24-2025
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Location Map

Secondary Locations

  • 1513 S Grand Ave Ste 220
    Los Angeles, CA 90015
    (213) 747-5542

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Advanced Practice Midwife

Taxonomy Code
367A00000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
236429
License State
CA
Taxonomy Description
Advanced practice midwifery encompasses the independent provision of care during pregnancy, childbirth, and the postpartum period; sexual and reproductive health; gynecologic health; and family planning services, including preconception care. Midwives also provide primary care for individuals from adolescence throughout the lifespan as well as care for the healthy newborn during the first 28 days of life. Midwives provide initial and ongoing comprehensive assessment, diagnosis, and treatment. Midwifery care includes health promotion, disease prevention, risk assessment and management, and individualized wellness education and counseling. Source: American College of Nurse-Midwives, www.midwife.org Additional Resources: See the American College of Nurse-Midwives, www.midwife.org, for more information on Certified Nurse-Midwives, Certified Midwives, the American Midwifery Certification Board (AMCB), and licensure.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1163W00000XNursing Service Providers

Registered Nurse

RN302920-COA1 (OH)
2367A00000XPhysician Assistants & Advanced Practice Nursing Providers

Advanced Practice Midwife

COA13801-NM (OH)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Bronze 7500 $25 Generic Drugs - HMO
  • Bronze 7500 $25 Generic Drugs + Adult Vision & Fitness - HMO
  • Core Gold 1500 $10 Generic Drugs - HMO
  • Core Gold 1500 $10 Generic Drugs + Adult Vision & Fitness - HMO
  • Diabetes Gold 3000 $0 Chronic Care Drugs & Services - HMO
  • Diabetes Gold 3000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
  • Diabetes Silver 5000 $0 Chronic Care Drugs & Services - HMO
  • Diabetes Silver 5000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
  • Gold 2000 $15 Generic Drugs - HMO
  • Gold 2000 $15 Generic Drugs + Adult Vision & Fitness - HMO
  • HDHP Preventive Silver 5500 $0 Chronic Care Drugs - HMO
  • Healthy Heart Gold 3000 $0 Chronic Care Drugs & Services - HMO
  • Healthy Heart Gold 3000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
  • Healthy Heart Silver 5000 $0 Chronic Care Drugs & Services - HMO
  • Healthy Heart Silver 5000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
  • Low Premium Bronze 10600 $25 Generic Drugs - HMO
  • Low Premium Bronze 10600 $25 Generic Drugs + Adult Vision & Fitness - HMO
  • Low Premium Silver 6200 $3 Generic Drugs - HMO
  • Low Premium Silver 6200 $3 Generic Drugs + Adult Vision & Fitness - HMO
  • Silver 6000 $20 Generic Drugs - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Melanie Miller is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: No

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 43560 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $84.72
  • Minimum New Patient Price $54.34
  • Maximum New Patient Price $166.65
  • Average New Patient Copayment $21.18
  • Minimum New Patient Copayment $13.58
  • Maximum New Patient Copayment $41.66

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $68.07
  • Minimum Established Patient Price $17.1
  • Maximum Established Patient Price $135.4
  • Average Established Patient Copayment $17.01
  • Minimum Established Patient Copayment $4.27
  • Maximum Established Patient Copayment $33.85

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1154672145, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
4
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
7
Unchanged
Pos 7
2
Doubled → 4
Pos 8
1
Unchanged
Pos 9
4
Doubled → 8
Check
5
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 5 → 10 → 1 6 → 12 → 3 2 → 4 4 → 8

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 1 + 0 + 4 + 1 + 2 + 7 + 4 + 1 + 8 + 24 = 55

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 55 is 60. The difference is the calculated check digit.

60 - 55 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1154672145.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Internal Medicine (Hematology & Oncology)
5308 HARROUN RD, SUITE 055
SYLVANIA, OH 43560
Internal Medicine (Hematology & Oncology)
5308 HARROUN RD, SUITE 055
SYLVANIA, OH 43560
Internal Medicine (Hematology & Oncology)
5308 HARROUN RD, SUITE 055
SYLVANIA, OH 43560
Internal Medicine
5308 HARROUN RD, STE 155
SYLVANIA, OH 43560
Surgery (Surgical Oncology)
5308 HARROUN RD, SUITE 160
SYLVANIA, OH 43560
Internal Medicine (Cardiovascular Disease)
5308 HARROUN RD, SUITE 165
SYLVANIA, OH 43560
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
5308 HARROUN RD, SUITE 60
SYLVANIA, OH 43560
Family Medicine
5308 HARROUN RD, SUITE 170
SYLVANIA, OH 43560
Surgery (Surgical Oncology)
5308 HARROUN RD, SUITE 180
SYLVANIA, OH 43560
Obstetrics & Gynecology
5308 HARROUN RD, SUITE 175
SYLVANIA, OH 43560
Internal Medicine (Hematology & Oncology)
5308 HARROUN RD, SUITE 055
SYLVANIA, OH 43560
Nurse Practitioner
5308 HARROUN RD, # 155
SYLVANIA, OH 43560
Internal Medicine (Hematology & Oncology)
5308 HARROUN RD, SUITE 055
SYLVANIA, OH 43560
Nurse Practitioner
5308 HARROUN RD, SUITE 055
SYLVANIA, OH 43560
Family Medicine
5308 HARROUN RD, # 155
SYLVANIA, OH 43560
Obstetrics & Gynecology
5308 HARROUN RD, STE 175
SYLVANIA, OH 43560
Internal Medicine (Hematology & Oncology)
5308 HARROUN RD, SUITE 055
SYLVANIA, OH 43560
Nurse Practitioner
5308 HARROUN RD, SUITE 160
SYLVANIA, OH 43560
Obstetrics & Gynecology
5308 HARROUN RD, SUITE 150
SYLVANIA, OH 43560
Obstetrics & Gynecology (Gynecologic Oncology)
5308 HARROUN RD, SUITE 280
SYLVANIA, OH 43560

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1154672145, enumerated as an "individual" on October 01, 2012.

The provider is located at 5308 HARROUN RD SUITE 175 SYLVANIA, OH 43560 and the phone number is (419) 824-5608.

Advanced Practice Midwife with taxonomy code 367A00000X.

The provider might be accepting Accepts: CareSource. Please consult your insurance carrier or call the provider to verify.