MRS. MELISSA N MILLER PA-C
NPI 1649588914
Physician Assistant - Medical in Appleton, WI

Q: What is Melissa Miller's NPI number?

The NPI number for Melissa Miller is 1649588914. It was assigned to this individual provider in the NPPES registry on September 20, 2010. The provider is also known as Ms. Melissa N Lind Pa-C.

Q: What is Melissa Miller's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Melissa Miller was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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 September 20, 2010PECOS Enrolled

2809 N PARK DRIVE LN, APPLETON, WI 54911(920) 380-4999 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 17, 2018, Nov 27, 2017, Oct 31, 2016 (3 updates tracked since 2016).

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About Mrs. Melissa N Miller Pa-c NPPES

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

MRS. MELISSA N MILLER PA-C (NPI 1649588914) is an individual medical provider in Appleton, Wisconsin, licensed in Wisconsin (4250) and active in the NPI registry since September 2010. She is enrolled in Medicare PECOS and maintains a secondary practice location in Westchester.

NPPES Registry Identity

NPI1649588914

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameMRS. MELISSA N MILLERCredential: PA-C

Location Address2809 N PARK DRIVE LNAppleton, WI 54911-1603

Mailing Address2809 N Park Drive LnAppleton, WI 54911-1603 · (920) 380-4999

Phone(920) 380-4999

Sole ProprietorNo

Enumeration DateSeptember 20, 2010

Last NPPES UpdateMarch 17, 20183 updates tracked since enumeration

✔ NPI 1649588914 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

Licenses✔ Licensed in WI · 4250✔ Licensed in IL · 085003857

2809 N PARK DRIVE LN, Appleton, WI 54911

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Other Names 1

Former Name (1)Ms. Melissa N Lind Pa-c

Secondary Practice Location 1

Location 12450 S. Golf Road, Suite FWestchester, IL 60154 · Phone (708) 273-8400

Other Identifiers 3

Other769380IL · Medicare Group Ptan

Other363502461001IL · Tricare

Other10115176IL · Bcbsil Group

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Melissa N 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.

Other Providers at the Same Location NPPES 18

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

MICHELLE A WILKE LPC

Counselor (Professional)