MR. ETTHAN CHARLES MILLER
NPI 1336546209
Nurse Practitioner - Family in Wytheville, VA

Active since November 20, 2014PECOS EnrolledAccepts Medicare Assignment
360 VIRGINIA AVE STE A, WYTHEVILLE, VA 24382(276) 620-4246 Get Directions Write a Review

NPPES record last updated: May 1, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 10, 2017, Jan 26, 2016, Jan 21, 2016 (3 updates tracked since 2016).

About Mr. Etthan Charles Miller NPPES

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

MR. ETTHAN CHARLES MILLER (NPI 1336546209) is an individual family provider in Wytheville, Virginia, licensed in Virginia (0024172389) and active in the NPI registry since November 2014. He is enrolled in Medicare PECOS, is affiliated with Smyth County Community Hospital, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1336546209
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. ETTHAN CHARLES MILLER
Location Address360 VIRGINIA AVE STE AWytheville, VA 24382-1185
Mailing Address360 Virginia Ave Ste AWytheville, VA 24382-1185 · (276) 335-2038 · Fax (276) 625-8865
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateNovember 20, 2014
Last NPPES UpdateMay 1, 20253 updates tracked since enumeration
NPPES CertifiedMay 1, 2025
NPI 1336546209 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in VA · 0024172389
Also ListedRegistered Nurse · EmergencyTaxonomy 163WE0003X · License 0001111520 (VA)
Also ListedRegistered Nurse · Occupational HealthTaxonomy 163WX0106X · License 0001111520 (VA)
360 VIRGINIA AVE STE A, Wytheville, VA 24382

Other Identifiers 1

Medicaid1336546209VA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mr. Etthan Charles Miller 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 ID6507187176
PECOS Enrollment IDI20150608001954
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.

Areas of Expertise CMS Part B claims 14

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
288 services143 patients
Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
232 services25 patients
Injection, ceftriaxone sodium, per 250 mg J0696
Ceftriaxone sodium is an antibiotic injection used to treat a variety of bacterial infections. Each injection contains 250 mg of the medicine. It works by stopping the growth of bacteria in your body.
205 services44 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
184 services75 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
154 services94 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
110 services110 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Smyth County Community Hospital

Acute Care Hospitals · Marion, VA
OwnershipVoluntary non-profit - Private
CMS Certification Number490038
Location245 Medical Park DriveMarion, VA 24354 · Smyth County
Emergency services

Wythe County Community Hospital

Acute Care Hospitals · Wytheville, VA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number490111
Location600 West Ridge RoadWytheville, VA 24382 · Wythe County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 24382 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

Referred Medical Equipment & Supplies CMS DME claims 20

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers19 claims32 services$6.28 avg. paid by Medicare
Skin barrier; solid, 4 x 4 or equivalent; each A4362
DME-Orthotic Devices · category DF010N
1 supplier12 claims240 services$2.61 avg. paid by Medicare
Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each A4409
DME-Orthotic Devices · category DF010N
1 supplier12 claims240 services$5.68 avg. paid by Medicare
Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2 piece), each A4419
DME-Orthotic Devices · category DF010N
1 supplier12 claims360 services$1.53 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
3 suppliers22 claims22 services$45.17 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
3 suppliers18 claims18 services$107.51 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

Nurse Practitioner (Family)
360 VIRGINIA AVE STE A
WYTHEVILLE, VA 24382

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 Etthan Miller's NPI number?

The NPI number for Etthan Miller is 1336546209. It was assigned to this individual provider in the NPPES registry on November 20, 2014.

Where is Etthan Miller located?

Etthan Miller practices at 360 Virginia Ave Ste A, Wytheville, VA 24382. The listed phone number is (276) 620-4246.

What is Etthan Miller's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Etthan Miller enrolled in Medicare?

Yes. Etthan 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.

Is Etthan Miller affiliated with any hospitals?

According to CMS data, Etthan Miller is affiliated with Smyth County Community Hospital and Wythe County Community Hospital.

When was this NPI record last updated?

The NPPES record for Etthan Miller was last updated on May 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.