MIKAELA GRACE MILLER
NPI 1639752355
Psychiatry & Neurology - Psychiatry in Bend, OR

Q: What is Mikaela Miller's NPI number?

The NPI number for Mikaela Miller is 1639752355. It was assigned to this individual provider in the NPPES registry on April 30, 2021.

Q: What is Mikaela Miller's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: When was this NPI record last updated?

The NPPES record for Mikaela Miller was last updated on October 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since April 30, 2021PECOS EnrolledAccepts Medicare Assignment

1128 NW HARRIMAN ST, BEND, OR 97703(541) 322-7500(541) 322-7565 Get Directions Write a Review

NPPES record last updated: October 8, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Oct 8, 2025, Jan 9, 2023, Apr 30, 2021 (3 updates tracked since 2021).

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About Mikaela Grace Miller NPPES

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

MIKAELA GRACE MILLER (NPI 1639752355) is an individual psychiatry provider in Bend, Oregon, licensed in Oregon (MD226507) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS and is a graduate of University Of Texas Medical School At San Antonio (2021).

NPPES Registry Identity

NPI1639752355

Entity TypeIndividualFemale

Primary Taxonomy2084P0800X

Provider Legal NameMIKAELA GRACE MILLER

Location Address1128 NW HARRIMAN STBend, OR 97703-1947

Mailing Address2577 Ne Courtney DrBend, OR 97701-7638 · (541) 322-7500 · Fax (541) 322-7565

Phone(541) 322-7500

Fax(541) 322-7565

Sole ProprietorNo

Medical School CMSUniversity Of Texas Medical School At San AntonioGraduated 2021

Enumeration DateApril 30, 2021

Last NPPES UpdateOctober 8, 20253 updates tracked since enumeration

NPPES CertifiedOctober 8, 2025

✔ NPI 1639752355 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

License✔ Licensed in OR · MD226507

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

1128 NW HARRIMAN ST, Bend, OR 97703

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mikaela Grace 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 ID3072977685

PECOS Enrollment IDI20251216003454

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 Billing Reassignments

Medicare enrollment records show Mikaela Miller reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Deschutes County Oregon

2.3 mi

Addiction (Substance Use Disorder)

2577 NE COURTNEY DRIVE
Bend, OR 97701

Reassigned Medicare billing, Oregon enrollment
120 clinicians in this Medicare group

NPI 1366656068 (541) 322-7500

Community Research Foundation Inc

810 mi

Community/Behavioral Health

1202 MORENA BLVD STE 100
San Diego, CA 92110

Reassigned Medicare billing, California enrollment
147 clinicians in this Medicare group

NPI 1952328700 (619) 275-0822

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97703 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

$166.64 typical visit price

range $54.96 – $166.64

Typical copayment $41.66 (range $13.74 – $41.66)

Most-billed visit code 99205

Established Patient

$68.64 typical visit price

range $17.68 – $136.19

Typical copayment $17.16 (range $4.42 – $34.04)

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 20

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

DEREK WEAVER

Peer Specialist