NICOLE BORISSA MILLER PA-C
NPI 1255104337
Physician Assistant in Evanston, IL

Q: What is Nicole Miller's NPI number?

The NPI number for Nicole Miller is 1255104337. It was assigned to this individual provider in the NPPES registry on November 1, 2023.

Q: What is Nicole Miller's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Nicole Miller was last updated on May 5, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since November 01, 2023PECOS Enrolled

2650 RIDGE AVE, EVANSTON, IL 60201(847) 570-1010(847) 733-5108 Get Directions Write a Review

NPPES record last updated: May 5, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 5, 2026, Nov 1, 2023 (2 updates tracked since 2023).

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About Nicole Borissa Miller Pa-c NPPES

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

NICOLE BORISSA MILLER PA-C (NPI 1255104337) is an individual physician assistant in Evanston, Illinois, licensed in Illinois (085012029) and active in the NPI registry since November 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1255104337

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameNICOLE BORISSA MILLERCredential: PA-C

Location Address2650 RIDGE AVEEvanston, IL 60201-1700

Mailing Address2650 Ridge Ave Ste 1223Evanston, IL 60201-1700 · (847) 570-2040 · Fax (847) 733-5315

Phone(847) 570-1010

Fax(847) 733-5108

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateNovember 1, 2023

Last NPPES UpdateMay 5, 20262 updates tracked since enumeration

NPPES CertifiedMay 5, 2026

✔ NPI 1255104337 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in IL · 085012029

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

2650 RIDGE AVE, Evanston, IL 60201

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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)

Nicole Borissa Miller Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4183193311

PECOS Enrollment IDI20260518002260

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 60201 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

$94.06 typical visit price

range $60.08 – $183.39

Typical copayment $23.51 (range $15.02 – $45.84)

Most-billed visit code 99203

Established Patient

$74.80 typical visit price

range $18.97 – $148.12

Typical copayment $18.70 (range $4.74 – $37.03)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.