JOHN GERARD MILLER LAC
NPI 1336490762
Counselor - Addiction (Substance Use Disorder) in Grand Forks, ND

Active since September 25, 2012PECOS EnrolledAccepts Medicare Assignment
1451 44TH AVE S STE A, GRAND FORKS, ND 58201(701) 772-2500(701) 732-2517 Get Directions Write a Review

NPPES record last updated: September 25, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About John Gerard Miller Lac NPPES

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

JOHN GERARD MILLER LAC (NPI 1336490762) is an individual addiction (substance use disorder) provider in Grand Forks, North Dakota, licensed in North Dakota (1668) and active in the NPI registry since September 2012. He is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1336490762
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameJOHN GERARD MILLERCredential: LAC
Location Address1451 44TH AVE S STE AGrand Forks, ND 58201-3434
Mailing Address1451 44th Ave S Ste AGrand Forks, ND 58201-3434 · (701) 772-2500 · Fax (701) 732-2517
Fax(701) 732-2517
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateSeptember 25, 2012
✔ NPI 1336490762 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in ND · 1668
1451 44TH AVE S STE A, Grand Forks, ND 58201

Accepted 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

John Gerard Miller Lac 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 ID4789080060
PECOS Enrollment IDI20250425001237
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 John Miller reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Federally Qualified Health Center (FQHC)
212 S 4TH ST, SUITE 301
Grand Forks, ND 58201
  • Reassigned Medicare billing, North Dakota enrollment
  • 19 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.

Other Providers at the Same Location NPPES 2

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

Nurse Practitioner (Family)
1451 44TH AVE S STE A
GRAND FORKS, ND 58201
Psychiatric Hospital
1451 44TH AVE S STE A
GRAND FORKS, ND 58201

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 John Miller's NPI number?

The NPI number for John Miller is 1336490762. It was assigned to this individual provider in the NPPES registry on September 25, 2012.

Where is John Miller located?

John Miller practices at 1451 44th Ave S Ste A, Grand Forks, ND 58201. The listed phone number is (701) 772-2500.

What is John Miller's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Is John Miller enrolled in Medicare?

Yes. John 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 John Miller's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Miller reassigns Medicare benefits to Spectra Health (Grand Forks, ND). 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 John Miller's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does John Miller accept?

Health plans from Blue Cross Blue Shield of North Dakota and Sanford Health Plan list John 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 John Miller was last updated on September 25, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.