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MANDIE MILLER DMS, PA-C
NPI 1609152479
Physician Assistant in Glendale, AZ

Active since October 25, 2011Opted out of Medicare · through Apr 1, 2028
17505 N 79TH AVE STE 309, GLENDALE, AZ 85308(623) 321-2221(855) 397-2676 Get Directions Write a Review

NPPES record last updated: November 21, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 21, 2024, May 20, 2022, Apr 11, 2022 and 1 more (4 updates tracked since 2018).

About Mandie Miller Dms, Pa-c NPPES

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

MANDIE MILLER DMS, PA-C (NPI 1609152479) is an individual physician assistant in Glendale, Arizona, licensed in Arizona (4918) and active in the NPI registry since October 2011. She has opted out of Medicare through April 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1609152479
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMANDIE MILLERCredential: DMS, PA-C
Location Address17505 N 79TH AVE STE 309Glendale, AZ 85308-8730
Mailing Address17505 N 79th Ave Ste 309Glendale, AZ 85308-8730 · (623) 321-2221 · Fax (855) 397-2676
Phone(623) 321-2221
Fax(855) 397-2676
Sole ProprietorNo
Enumeration DateOctober 25, 2011
Last NPPES UpdateNovember 21, 20244 updates tracked since enumeration
NPPES CertifiedNovember 21, 2024
✔ NPI 1609152479 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in AZ · 4918
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 4918 (AZ)
17505 N 79TH AVE STE 309, Glendale, AZ 85308
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Other Names 1

Former Name (1)Amanda Anderson Mms, Pa-c

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Mandie Miller Dms, Pa-c has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2024 through April 1, 2028.

Opt-Out Effective DateApril 1, 2024
Opt-Out In Effect ThroughApril 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

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

AMANDA ANDERSON, MMS, PA-C, PLLC
Psychiatry & Neurology (Psychiatry)
17505 N 79TH AVE STE 309
GLENDALE, AZ 85308
Maricopa County (623) 321-2221

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 Mandie Miller's NPI number?

The NPI number for Mandie Miller is 1609152479. It was assigned to this individual provider in the NPPES registry on October 25, 2011. The provider is also known as Amanda Anderson Mms, Pa-C.

Where is Mandie Miller located?

Mandie Miller practices at 17505 N 79th Ave Ste 309, Glendale, AZ 85308. The listed phone number is (623) 321-2221.

What is Mandie Miller's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Mandie Miller enrolled in Medicare?

No. Mandie Miller has opted out of Medicare through April 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Mandie Miller accept?

Health plans from Ambetter from Arizona Complete Health list Mandie 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 Mandie Miller was last updated on November 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.