LISA M MILLER NP
NPI 1356094148
Nurse Practitioner - Psychiatric/Mental Health in Pocatello, ID

Active since February 01, 2022PECOS EnrolledAccepts Medicare Assignment
1950 E CLARK ST STE 110, POCATELLO, ID 83201(208) 252-5021(208) 205-8040 Get Directions Write a Review

NPPES record last updated: November 20, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 20, 2024, Nov 8, 2024, Aug 16, 2022 and 1 more (4 updates tracked since 2022).

About Lisa M Miller Np NPPES

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

LISA M MILLER NP (NPI 1356094148) is an individual psychiatric/mental health provider in Pocatello, Idaho, licensed in Idaho (70995) and active in the NPI registry since February 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Pocatello, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1356094148
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameLISA M MILLERCredential: NP
Location Address1950 E CLARK ST STE 110Pocatello, ID 83201-3315
Mailing Address1950 E Clark St Ste 110Pocatello, ID 83201-3315 · (208) 252-5021 · Fax (208) 205-8040
Fax(208) 205-8040
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateFebruary 1, 2022
Last NPPES UpdateNovember 20, 20244 updates tracked since enumeration
NPPES CertifiedNovember 8, 2024
NPI 1356094148 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in ID · 70995
1950 E CLARK ST STE 110, Pocatello, ID 83201

Secondary Practice Location 1

Location 1941 Castle StPocatello, ID 83202-3010 · Phone (208) 406-2378

Accepted Insurance

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

Lisa M Miller Np 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 ID5597152942
PECOS Enrollment IDI20220503002724
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83201 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
$81.13 typical visit price
range $52.44 – $160.17
Typical copayment $20.28 (range $13.11 – $40.04)
Most-billed visit code 99203
Established Patient
$93.26 typical visit price
range $16.68 – $130.93
Typical copayment $23.31 (range $4.17 – $32.73)
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 2

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

Nurse Practitioner (Family)
1950 E CLARK ST STE 110
POCATELLO, ID 83201
Physician Assistant
1950 E CLARK ST STE 110
POCATELLO, ID 83201

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 Lisa Miller's NPI number?

The NPI number for Lisa Miller is 1356094148. It was assigned to this individual provider in the NPPES registry on February 1, 2022.

Where is Lisa Miller located?

Lisa Miller practices at 1950 E Clark St Ste 110, Pocatello, ID 83201. The listed phone number is (208) 252-5021.

What is Lisa Miller's specialty?

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

Is Lisa Miller enrolled in Medicare?

Yes. Lisa 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.

What insurance does Lisa Miller accept?

Health plans from Moda Health Plan, Inc. and Providence Health Plan list Lisa 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 Lisa Miller was last updated on November 20, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.