Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KANISHA L. MILLER APRN
NPI 1265099238
Nurse Practitioner - Psychiatric/Mental Health in Deland, FL

Q: What is Kanisha Miller's NPI number?

The NPI number for Kanisha Miller is 1265099238. It was assigned to this individual provider in the NPPES registry on May 24, 2019.

Q: What is Kanisha Miller's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Kanisha Miller was last updated on October 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 days 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.

Active since May 24, 2019PECOS Enrolled

201 W PLYMOUTH AVE, DELAND, FL 32720(407) 732-4272(407) 732-4579 Get Directions Write a Review

NPPES record last updated: October 21, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 22, 2022, Feb 12, 2022, May 24, 2019 (3 updates tracked since 2019).

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About Kanisha L. Miller Aprn NPPES

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

KANISHA L. MILLER APRN (NPI 1265099238) is an individual psychiatric/mental health provider in Deland, Florida, licensed in Florida (APRN11002017) and active in the NPI registry since May 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Sanford, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1265099238

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameKANISHA L. MILLERCredential: APRN

Location Address201 W PLYMOUTH AVEDeland, FL 32720-2753

Mailing Address308 Ridge RdTallahassee, FL 32305-7006 · (850) 443-3057

Phone(407) 732-4272

Fax(407) 732-4579

Sole ProprietorYes

Medical School CMSOtherGraduated 2018

Enumeration DateMay 24, 2019

Last NPPES UpdateOctober 21, 20263 updates tracked since enumeration

NPPES CertifiedOctober 21, 2026

✔ NPI 1265099238 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in FL · APRN11002017

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

Also ListedNurse PractitionerTaxonomy 363L00000X · License ARNP11002017 (FL)

201 W PLYMOUTH AVE, Deland, FL 32720

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Secondary Practice Location 1

Location 13993 W 1st StSanford, FL 32771-9726 · Phone (386) 873-2963

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kanisha L. Miller Aprn 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 ID4183955677

PECOS Enrollment IDI20191015001254

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.

Medicare Billing Reassignment

Medicare enrollment records show Kanisha Miller reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Saafe Behavioral Services LLC

Same address

Community/Behavioral Health

201 W PLYMOUTH AVE
Deland, FL 32720

Reassigned Medicare billing, Florida enrollment
18 clinicians in this Medicare group

NPI 1154757557 (386) 873-2963

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 32720 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

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 20

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

WHIDDEN FLORES

Social Worker (Clinical)