1. Home
  2. Directory
  3. NPI Profile

MICHELLE R MILLER PA
NPI 1497759930
Physician Assistant - Medical in Tyndall, Afb, FL

Active since June 13, 2005PECOS Enrolled
325 MDG, 340 MAGMOLIA CIR, TYNDALL, AFB, FL 32403(608) 797-6826 Get Directions Write a Review

NPPES record last updated: May 9, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 9, 2018, Jul 12, 2016 (2 updates tracked since 2016).

About Michelle R Miller Pa NPPES

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

MICHELLE R MILLER PA (NPI 1497759930) is an individual medical provider in Tyndall, Afb, Florida, licensed in Wisconsin (1349) and active in the NPI registry since June 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1497759930
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMICHELLE R MILLERCredential: PA
Location Address325 MDG, 340 MAGMOLIA CIRTyndall, Afb, FL 32403
Mailing Address325 Mdg, 340 Magmolia CirTyndall, Afb, FL 32403 · (608) 797-6826
Phone(608) 797-6826
Sole ProprietorNo
Enumeration DateJune 13, 2005
Last NPPES UpdateMay 9, 20182 updates tracked since enumeration
✔ NPI 1497759930 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
Licenses✔ Licensed in WI · 1349✔ Licensed in MN · 1843
325 MDG, 340 MAGMOLIA CIR, Tyndall, Afb, FL 32403
Open in Google Maps ↗

Other Identifiers 1

Medicaid41921900WI

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michelle R Miller Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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 Michelle Miller's NPI number?

The NPI number for Michelle Miller is 1497759930. It was assigned to this individual provider in the NPPES registry on June 13, 2005.

Where is Michelle Miller located?

Michelle Miller practices at 325 Mdg, 340 Magmolia Cir, Tyndall, Afb, FL 32403. The listed phone number is (608) 797-6826.

What is Michelle Miller's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Michelle Miller enrolled in Medicare?

Yes. Michelle Miller is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Michelle Miller was last updated on May 9, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.