MRS. KRISTINE ERICKSEN-MILLER NP
NPI 1174079115
Nurse Practitioner - Primary Care in Newport Beach, CA

Q: What is Kristine Ericksen-miller's NPI number?

The NPI number for Kristine Ericksen-miller is 1174079115. It was assigned to this individual provider in the NPPES registry on August 30, 2016.

Q: What is Kristine Ericksen-miller's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Active since August 30, 2016PECOS Enrolled

4321 BIRCH ST STE 100, NEWPORT BEACH, CA 92660(310) 245-6503 Get Directions Write a Review

NPPES record last updated: October 16, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 16, 2018, Oct 11, 2018, Sep 4, 2018 and 2 more (5 updates tracked since 2016).

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About Mrs. Kristine Ericksen-miller Np NPPES

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

MRS. KRISTINE ERICKSEN-MILLER NP (NPI 1174079115) is an individual primary care provider in Newport Beach, California, licensed in California (95004881) and active in the NPI registry since August 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174079115

Entity TypeIndividualFemale

Primary Taxonomy363LP2300X

Provider Legal NameMRS. KRISTINE ERICKSEN-MILLERCredential: NP

Location Address4321 BIRCH ST STE 100Newport Beach, CA 92660-1940

Mailing Address11921 Carmel Creek Rd Apt 129San Diego, CA 92130-2585 · (310) 245-6503

Phone(310) 245-6503

Sole ProprietorYes

Enumeration DateAugust 30, 2016

Last NPPES UpdateOctober 16, 20185 updates tracked since enumeration

✔ NPI 1174079115 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP2300X

License✔ Licensed in CA · 95004881

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 95004881 (CA)

4321 BIRCH ST STE 100, Newport Beach, CA 92660

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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)

Mrs. Kristine Ericksen-miller Np 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92660 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

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

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

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

LAUREN W SUNDHEIMER MD, MS

Obstetrics & Gynecology (Reproductive Endocrinology)

4321 BIRCH ST STE 100
NEWPORT BEACH, CA 92660

Orange County (949) 432-7438

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 Kristine Ericksen-miller's NPI number?

The NPI number for Kristine Ericksen-miller is 1174079115. It was assigned to this individual provider in the NPPES registry on August 30, 2016.

Where is Kristine Ericksen-miller located?

Kristine Ericksen-miller practices at 4321 Birch St Ste 100, Newport Beach, CA 92660. The listed phone number is (310) 245-6503.

What is Kristine Ericksen-miller's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Kristine Ericksen-miller enrolled in Medicare?

Yes. Kristine Ericksen-miller is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kristine Ericksen-miller was last updated on October 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.