KIMBERLEY MILLER PHD
NPI 1376090514
Psychologist - Clinical in Park Ridge, IL
About Kimberley Miller Phd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KIMBERLEY MILLER PHD (NPI 1376090514) is an individual clinical provider in Park Ridge, Illinois, licensed in Illinois (071010794) and active in the NPI registry since September 2016. She is enrolled in Medicare PECOS, is affiliated with Mclaren Flint, and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses 2
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
Kimberley Miller Phd 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 Reassignments
2Medicare enrollment records show Kimberley Miller reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Flint, MI 48532
- Reassigned Medicare billing, Michigan enrollment
- 16 clinicians in this Medicare group
Mount Clemens, MI 48043
- Reassigned Medicare billing, Michigan enrollment
- 188 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Mclaren Flint
Acute Care Hospitals · Flint, MIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 60068 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.
PARK RIDGE, IL 60068
PARK RIDGE, IL 60068
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 Kimberley Miller's NPI number?
The NPI number for Kimberley Miller is 1376090514. It was assigned to this individual provider in the NPPES registry on September 6, 2016.
Where is Kimberley Miller located?
Kimberley Miller practices at 1775 Ballard Rd, Park Ridge, IL 60068. The listed phone number is (847) 318-2923.
What is Kimberley Miller's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is Kimberley Miller enrolled in Medicare?
Yes. Kimberley 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 organizations bill Medicare for Kimberley Miller's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kimberley Miller reassigns Medicare benefits to 2 organizations: Mclaren Flint (Flint, MI) and Mclaren Macomb (Mount Clemens, MI). Each 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 Kimberley Miller's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kimberley 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 1 other insurer list Kimberley 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.
Is Kimberley Miller affiliated with any hospitals?
According to CMS data, Kimberley Miller is affiliated with Mclaren Flint.
When was this NPI record last updated?
The NPPES record for Kimberley Miller was last updated on December 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Kimberley Miller, PHD · NPI 1376090514
Clinical provider in Park Ridge, Illinois. Individual provider, active in the CMS NPPES registry since September 6, 2016.
## Identity
- **NPI:** 1376090514 (Entity type: Individual)
- **Enumerated:** September 6, 2016
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **State license:** 071010794 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 1775 BALLARD RD, Park Ridge, IL 60068-1005
- **Phone:** (847) 318-2923
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Mclaren Flint (NPI 1962541318, Flint, MI); Mclaren Macomb (NPI 1528002532, Mount Clemens, MI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** December 1, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1376090514) · Data from the CMS NPPES public registry.