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MARY MILLER
NPI 1629169388
Dietitian, Registered - Nutrition, Metabolic in Grayslake, IL

Active since September 27, 2006Accepts Medicare Assignment
94.1/100
CMS Quality Rating
1475 E BELVIDERE RD, PAVILION C STE 385, GRAYSLAKE, IL 60030(847) 535-7647(847) 535-7260 Get Directions Write a Review

NPPES record last updated: March 1, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mary Miller NPPES

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

MARY MILLER (NPI 1629169388) is an individual nutrition, metabolic provider in Grayslake, Illinois, licensed in Illinois (164001864) and active in the NPI registry since September 2006. She is a graduate of Other (1982).

NPPES Registry Identity

NPI1629169388
Entity TypeIndividualFemale
Primary Taxonomy133VN1006X
Provider Legal NameMARY MILLER
Location Address1475 E BELVIDERE RD, PAVILION C STE 385Grayslake, IL 60030-2012
Mailing Address680 N Lake Shore Dr, Suite 1000Chicago, IL 60611-4546 · (312) 695-9797 · Fax (847) 535-7260
Phone(847) 535-7647
Fax(847) 535-7260
Sole ProprietorNo
Medical School CMSOtherGraduated 1982
Enumeration DateSeptember 27, 2006
Last NPPES UpdateMarch 1, 2017
✔ NPI 1629169388 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, Registered · Nutrition, MetabolicDietary & Nutritional Service Providers
Taxonomy Code133VN1006X
License✔ Licensed in IL · 164001864
Definition
A registered dietitian who achieves specialized competency in metabolic nutrition.
1475 E BELVIDERE RD, Grayslake, IL 60030
Open in Google Maps ↗

Other Identifiers 1

Medicare PIN962341IL

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

Mary 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 ID4981602448
PECOS Enrollment IDI20061116000119

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Diabetes outpatient self-management training services, individual, per 30 minutes G0108
This service involves personalized training sessions, each lasting 30 minutes, to help manage diabetes. It includes guidance on monitoring blood sugar, healthy eating, physical activity, medication usage, and dealing with daily challenges of living with diabetes.
218 services115 patients

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.

94.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.59
Promoting Interoperability100
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.

NATALIE MARIE TRYTKO DPT
Physical Therapist
1475 E BELVIDERE RD
GRAYSLAKE, IL 60030
Lake County (630) 933-1500
ADIBA KHAN
Family Medicine
1475 E BELVIDERE RD, SUITE 385
GRAYSLAKE, IL 60030
Lake County (847) 535-7157
FAIRVIEW PEDIATRICS LLC
Pediatrics
1475 E BELVIDERE RD, SUITE 315
GRAYSLAKE, IL 60030
Lake County (847) 548-8777
MS. PATRICIA BENENSON PT
Physical Therapist
1475 E BELVIDERE RD
GRAYSLAKE, IL 60030
Lake County (847) 535-8833
GRAYSLAKE FAMILY HEALTH CENTER SC
Family Medicine
1475 E BELVIDERE RD, SUITE 312
GRAYSLAKE, IL 60030
Lake County (847) 845-7213
KELLY MARJORIE RYAN DPT
Physical Therapist
1475 E BELVIDERE RD
GRAYSLAKE, IL 60030
Lake County (847) 535-8817
KIMBERLY A FORSEY M.D.
Pediatrics
1475 E BELVIDERE RD, SUITE 315
GRAYSLAKE, IL 60030
Lake County (847) 548-8777
JORI SHEADE M.D.
Internal Medicine (Hematology & Oncology)
1475 E BELVIDERE RD
GRAYSLAKE, IL 60030
Lake County (847) 582-2134

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 Mary Miller's NPI number?

The NPI number for Mary Miller is 1629169388. It was assigned to this individual provider in the NPPES registry on September 27, 2006.

Where is Mary Miller located?

Mary Miller practices at 1475 E Belvidere Rd Pavilion C Ste 385, Grayslake, IL 60030. The listed phone number is (847) 535-7647.

What is Mary Miller's specialty?

The primary specialty registered for this NPI is Dietitian, Registered, specializing in Nutrition, Metabolic, with taxonomy code 133VN1006X.

Is Mary Miller enrolled in Medicare?

Yes. Mary 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 Mary Miller was last updated on March 1, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.