MRS. KRISTINE ERICKSEN-MILLER NP
NPI 1174079115
Nurse Practitioner - Primary Care in Newport Beach, CA
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
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mrs. Kristine Ericksen-miller Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Kristine Ericksen-miller reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
El Cajon, CA 92020
- Reassigned Medicare billing, California enrollment
- 212 clinicians in this Medicare group
Palm Springs, CA 92262
- Reassigned Medicare billing, California enrollment
- 167 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
NEWPORT BEACH, CA 92660
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.
Which organizations bill Medicare for Kristine Ericksen-miller's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kristine Ericksen-miller reassigns Medicare benefits to 2 organizations: Minuteclinic Diagnostic Medical Group Of San Diego Inc (El Cajon, CA) and Desert Medical Group, Inc. (Palm Springs, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kristine Ericksen-miller's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 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.
# Mrs. Kristine Ericksen-Miller, NP · NPI 1174079115
Primary Care physician in Newport Beach, California. Individual provider, active in the CMS NPPES registry since August 30, 2016.
## Identity
- **NPI:** 1174079115 (Entity type: Individual)
- **Enumerated:** August 30, 2016
- **Primary specialty:** Nurse Practitioner - Primary Care · taxonomy 363LP2300X
- **State license:** 95004881 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 4321 BIRCH ST STE 100, Newport Beach, CA 92660-1940
- **Phone:** (310) 245-6503
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Minuteclinic Diagnostic Medical Group Of San Diego Inc (NPI 1568659233, El Cajon, CA); Desert Medical Group, Inc. (NPI 1114918612, Palm Springs, CA) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 16, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1174079115) · Data from the CMS NPPES public registry.