KATHRYN MILLER PA
NPI 1205353075
Physician Assistant - Surgical in Wheat Ridge, CO

Active since August 23, 2017Accepts Medicare Assignment
3455 LUTHERAN PKWY STE 105, WHEAT RIDGE, CO 80033(303) 344-9090 Get Directions Write a Review

NPPES record last updated: June 29, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 31, 2017, Aug 23, 2017 (2 updates tracked since 2017).

About Kathryn Miller Pa NPPES

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

KATHRYN MILLER PA (NPI 1205353075) is an individual surgical provider in Wheat Ridge, Colorado, licensed in Colorado (PA.0005107) and active in the NPI registry since August 2017. She maintains a secondary practice location in Aurora and is a graduate of Other (2017).

NPPES Registry Identity

NPI1205353075
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameKATHRYN MILLERCredential: PA
Location Address3455 LUTHERAN PKWY STE 105Wheat Ridge, CO 80033-6028
Mailing Address8101 E Lowry Blvd Ste 120Denver, CO 80230-7195 · (720) 865-6072
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateAugust 23, 2017
Last NPPES UpdateJune 29, 20232 updates tracked since enumeration
NPPES CertifiedJune 29, 2023
NPI 1205353075 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in CO · PA.0005107
3455 LUTHERAN PKWY STE 105, Wheat Ridge, CO 80033

Secondary Practice Location 1

Location 112605 E 16th AveAurora, CO 80045-2545 · Phone (303) 848-0000

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Kathryn Miller Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1759656911
PECOS Enrollment IDI20171013002615
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 12

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

Orthopaedic Surgery (Sports Medicine)
3455 LUTHERAN PKWY STE 105
WHEAT RIDGE, CO 80033
Nurse Practitioner (Family)
3455 LUTHERAN PKWY STE 105
WHEAT RIDGE, CO 80033
Orthopaedic Surgery (Hand Surgery)
3455 LUTHERAN PKWY STE 105
WHEAT RIDGE, CO 80033
Physical Therapy Assistant
3455 LUTHERAN PKWY STE 105
WHEAT RIDGE, CO 80033
Physical Therapist
3455 LUTHERAN PKWY STE 105
WHEAT RIDGE, CO 80033
Physical Therapist
3455 LUTHERAN PKWY STE 105
WHEAT RIDGE, CO 80033
Physician Assistant
3455 LUTHERAN PKWY STE 105
WHEAT RIDGE, CO 80033
Orthopaedic Surgery
3455 LUTHERAN PKWY STE 105
WHEAT RIDGE, CO 80033

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1205353075, enumerated as an "individual" on August 23, 2017.

The provider is located at 3455 LUTHERAN PKWY STE 105 WHEAT RIDGE, CO 80033 and the phone number is (303) 344-9090.

Physician Assistant with taxonomy code 363AS0400X and a focus in Surgical.