ANTONINA M MILLER PA-C
NPI 1619616653
Physician Assistant - Medical in Manchester, CT

Active since May 28, 2022PECOS EnrolledAccepts Medicare Assignment
93.24/100
CMS Quality Rating
71 HAYNES ST, MANCHESTER, CT 06040(860) 646-1222 Get Directions Write a Review

NPPES record last updated: April 22, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Mar 23, 2023, Sep 9, 2022, May 28, 2022 (3 updates tracked since 2022).

About Antonina M Miller Pa-c NPPES

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

ANTONINA M MILLER PA-C (NPI 1619616653) is an individual medical provider in Manchester, Connecticut, licensed in Connecticut (005677) and active in the NPI registry since May 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Middletown, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1619616653
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameANTONINA M MILLERCredential: PA-C
Location Address71 HAYNES STManchester, CT 06040-4131
Mailing Address71 Haynes StManchester, CT 06040-4131 · (860) 646-1222
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateMay 28, 2022
Last NPPES UpdateApril 22, 20253 updates tracked since enumeration
NPPES CertifiedApril 22, 2025
NPI 1619616653 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
License Licensed in CT · 005677
71 HAYNES ST, Manchester, CT 06040

Secondary Practice Location 1

Location 11250 Silver StMiddletown, CT 06457-3946 · Phone (860) 346-0300

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Antonina M Miller Pa-c 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 ID8729464698
PECOS Enrollment IDI20220929001429
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 Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

93.24/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality83.98
Improvement Activities40

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.

Emergency Medicine
71 HAYNES ST
MANCHESTER, CT 06040
Social Worker (Clinical)
71 HAYNES ST, BEHAVIORAL HEALTH UNIT
MANCHESTER, CT 06040
Emergency Medicine
71 HAYNES ST
MANCHESTER, CT 06040
Physician Assistant
71 HAYNES ST
MANCHESTER, CT 06040
Student in an Organized Health Care Education/Training Program
71 HAYNES ST
MANCHESTER, CT 06040
Psychiatry & Neurology (Child & Adolescent Psychiatry)
71 HAYNES ST
MANCHESTER, CT 06040
Physician Assistant (Surgical)
71 HAYNES ST
MANCHESTER, CT 06040
Psychiatry & Neurology (Psychiatry)
71 HAYNES ST, MMH
MANCHESTER, CT 06040

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 Antonina Miller's NPI number?

The NPI number for Antonina Miller is 1619616653. It was assigned to this individual provider in the NPPES registry on May 28, 2022.

Where is Antonina Miller located?

Antonina Miller practices at 71 Haynes St, Manchester, CT 06040. The listed phone number is (860) 646-1222.

What is Antonina Miller's specialty?

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

Is Antonina Miller enrolled in Medicare?

Yes. Antonina 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.

When was this NPI record last updated?

The NPPES record for Antonina Miller was last updated on April 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.