EBONY ANGELIQUE MILLER LMSW
NPI 1285277954
Social Worker - Clinical in Grand Rapids, MI
About Ebony Angelique Miller Lmsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EBONY ANGELIQUE MILLER LMSW (NPI 1285277954) is an individual clinical provider in Grand Rapids, Michigan, licensed in Michigan (6801103998) and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ebony Angelique Miller Lmsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Ebony Miller reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Grand Rapids, MI 49503
- Reassigned Medicare billing, Michigan enrollment
- 164 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 49503 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
GRAND RAPIDS, MI 49503
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 Ebony Miller's NPI number?
The NPI number for Ebony Miller is 1285277954. It was assigned to this individual provider in the NPPES registry on October 24, 2019.
Where is Ebony Miller located?
Ebony Miller practices at 790 Fuller Ave NE, Grand Rapids, MI 49503. The listed phone number is (616) 855-5100.
What is Ebony Miller's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Ebony Miller enrolled in Medicare?
Yes. Ebony Miller is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Ebony Miller's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ebony Miller reassigns Medicare benefits to Kent County Cmh Authority (Grand Rapids, MI). The 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 Ebony Miller's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Ebony Miller accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Ebony Miller as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Ebony Miller was last updated on March 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Ebony Angelique Miller, LMSW · NPI 1285277954
Clinical provider in Grand Rapids, Michigan. Individual provider, active in the CMS NPPES registry since October 24, 2019.
## Identity
- **NPI:** 1285277954 (Entity type: Individual)
- **Enumerated:** October 24, 2019
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 6801103998 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 790 FULLER AVE NE, Grand Rapids, MI 49503-1918
- **Phone:** (616) 855-5100
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Kent County Cmh Authority (NPI 1396404588, Grand Rapids, MI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 11, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1285277954) · Data from the CMS NPPES public registry.