WANDA MILLER
NPI 1417496605
Psychologist in Springfield, MO

Active since February 21, 2017PECOS EnrolledAccepts Medicare Assignment
1721 W ELFINDALE ST, SPRINGFIELD, MO 65807(417) 874-1942(417) 771-3723 Get Directions Write a Review

NPPES record last updated: February 21, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Wanda Miller NPPES

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

WANDA MILLER (NPI 1417496605) is an individual psychologist in Springfield, Missouri, licensed in Missouri (2017002892) and active in the NPI registry since February 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1417496605
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameWANDA MILLER
Location Address1721 W ELFINDALE STSpringfield, MO 65807-1295
Mailing Address1721 W Elfindale StSpringfield, MO 65807-1295 · (417) 874-1942 · Fax (417) 771-3723
Fax(417) 771-3723
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateFebruary 21, 2017
✔ NPI 1417496605 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License✔ Licensed in MO · 2017002892
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
1721 W ELFINDALE ST, Springfield, MO 65807

Other Identifiers 1

Medicaid1285906107MO

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

Wanda 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 ID2062781982
PECOS Enrollment IDI20170710001510
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 Reassignments

2

Medicare enrollment records show Wanda Miller reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Clinical
2864 S NETTLETON AVE
Springfield, MO 65807
  • Reassigned Medicare billing, Missouri enrollment
  • 24 clinicians in this Medicare group
Family Medicine
3231 S NATIONAL AVE STE 220
Springfield, MO 65807
  • Reassigned Medicare billing, Missouri enrollment
  • 1,487 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 19

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

Behavior Analyst
1721 W ELFINDALE ST
SPRINGFIELD, MO 65807
Behavior Analyst
1721 W ELFINDALE ST
SPRINGFIELD, MO 65807
Chiropractor
1721 W ELFINDALE ST, SUITE # 103
SPRINGFIELD, MO 65807
Behavior Analyst
1721 W ELFINDALE ST
SPRINGFIELD, MO 65807
Behavior Analyst
1721 W ELFINDALE ST
SPRINGFIELD, MO 65807
Behavior Analyst
1721 W ELFINDALE ST
SPRINGFIELD, MO 65807
Behavior Analyst
1721 W ELFINDALE ST
SPRINGFIELD, MO 65807
Occupational Therapist
1721 W ELFINDALE ST
SPRINGFIELD, MO 65807

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 Wanda Miller's NPI number?

The NPI number for Wanda Miller is 1417496605. It was assigned to this individual provider in the NPPES registry on February 21, 2017.

Where is Wanda Miller located?

Wanda Miller practices at 1721 W Elfindale St, Springfield, MO 65807. The listed phone number is (417) 874-1942.

What is Wanda Miller's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Wanda Miller enrolled in Medicare?

Yes. Wanda 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 Wanda Miller's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Wanda Miller reassigns Medicare benefits to 2 organizations: The Arc Of The Ozarks (Springfield, MO) and Mercy Clinic Springfield Communities (Springfield, MO). 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 Wanda Miller's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Wanda Miller accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 6 other insurers list Wanda 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 Wanda Miller was last updated on February 21, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.