KENNETH DEAN MILLER PA-C
NPI 1609928191
Physician Assistant in Merced, CA

Q: What is Kenneth Miller's NPI number?

The NPI number for Kenneth Miller is 1609928191. It was assigned to this individual provider in the NPPES registry on January 17, 2007.

Q: What is Kenneth Miller's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kenneth Miller was last updated on August 4, 2023. 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.

Active since January 17, 2007PECOS Enrolled

3349 G ST STE F, MERCED, CA 95340(209) 349-8459(209) 349-8650 Get Directions Write a Review

NPPES record last updated: August 4, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Kenneth Dean Miller Pa-c NPPES

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

KENNETH DEAN MILLER PA-C (NPI 1609928191) is an individual physician assistant in Merced, California, licensed in California (PA10104) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609928191

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameKENNETH DEAN MILLERCredential: PA-C

Location Address3349 G ST STE FMerced, CA 95340

Mailing Address3349 G St Ste FMerced, CA 95340-0978 · (209) 349-8459 · Fax (209) 349-8650

Phone(209) 349-8459

Fax(209) 349-8650

Sole ProprietorNo

Enumeration DateJanuary 17, 2007

Last NPPES UpdateAugust 4, 2023

NPPES CertifiedAugust 4, 2023

✔ NPI 1609928191 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in CA · PA10104

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.

3349 G ST STE F, Merced, CA 95340

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kenneth Dean Miller Pa-c 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95340 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

$90.32 typical visit price

range $58.87 – $176.60

Typical copayment $22.58 (range $14.71 – $44.15)

Most-billed visit code 99203

Established Patient

$73.16 typical visit price

range $19.28 – $144.60

Typical copayment $18.29 (range $4.82 – $36.15)

Most-billed visit code 99213

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 9

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

MS. GINA LEISHA BROUSSARD FNP

Nurse Practitioner (Family)