MRS. SHANDRA ANN MILLER FNP
NPI 1306444963
Nurse Practitioner - Family in Independence, MO
About Mrs. Shandra Ann Miller Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. SHANDRA ANN MILLER FNP (NPI 1306444963) is an individual family provider in Independence, Missouri, licensed in Missouri (2019043671) and active in the NPI registry since October 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Overland Park, and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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
Mrs. Shandra Ann Miller Fnp 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.
Medicare Billing Reassignment
Medicare enrollment records show Shandra Miller reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Ferguson, MO 63135
- Reassigned Medicare billing, Kansas and Missouri enrollments
- Medicare enrollment name: Archwell Health Professional Services Of Kansas PA
- 22 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 64050 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 12
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Shandra Miller's NPI number?
The NPI number for Shandra Miller is 1306444963. It was assigned to this individual provider in the NPPES registry on October 15, 2020.
Where is Shandra Miller located?
Shandra Miller practices at 11605 E 23rd St S, Independence, MO 64050. The listed phone number is (816) 579-6891.
What is Shandra Miller's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Shandra Miller enrolled in Medicare?
Yes. Shandra Miller is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Shandra Miller's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shandra Miller reassigns Medicare benefits to Archwell Health Professional Services Of Kansas, P.A. (Ferguson, MO). 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 Shandra 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 Shandra Miller was last updated on September 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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. Shandra Ann Miller, FNP · NPI 1306444963
Family physician in Independence, Missouri. Individual provider, active in the CMS NPPES registry since October 15, 2020.
## Identity
- **NPI:** 1306444963 (Entity type: Individual)
- **Enumerated:** October 15, 2020
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 2019043671 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 11605 E 23RD ST S, Independence, MO 64050-4201
- **Phone:** (816) 579-6891 · **Fax:** (816) 579-6892
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Archwell Health Professional Services Of Kansas, P.A. (NPI 1083289086, Ferguson, MO), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** September 10, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1306444963) · Data from the CMS NPPES public registry.