RENAE L MILLER PA-C
NPI 1669523718
Physician Assistant - Medical in Detroit Lakes, MN

Q: What is Renae Miller's NPI number?

The NPI number for Renae Miller is 1669523718. It was assigned to this individual provider in the NPPES registry on January 16, 2007.

Q: What is Renae 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 Renae Miller was last updated on November 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 16, 2007PECOS EnrolledAccepts Medicare Assignment

1361 WENNER RD, DETROIT LAKES, MN 56501(218) 396-6500(218) 396-6504 Get Directions Write a Review

NPPES record last updated: November 28, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Renae L Miller Pa-c NPPES

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

RENAE L MILLER PA-C (NPI 1669523718) is an individual medical provider in Detroit Lakes, Minnesota, licensed in Minnesota (9386) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS, is affiliated with Essentia Health St Marys - Detroit Lakes, and is a graduate of University Of North Dakota School Of Medicine (1997).

NPPES Registry Identity

NPI1669523718

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameRENAE L MILLERCredential: PA-C

Location Address1361 WENNER RDDetroit Lakes, MN 56501-7918

Mailing Address1361 Wenner RdDetroit Lakes, MN 56501-7918 · (218) 396-6500 · Fax (218) 396-6504

Phone(218) 396-6500

Fax(218) 396-6504

Sole ProprietorNo

Medical School CMSUniversity Of North Dakota School Of MedicineGraduated 1997

Enumeration DateJanuary 16, 2007

Last NPPES UpdateNovember 28, 2023

NPPES CertifiedNovember 28, 2023

✔ NPI 1669523718 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 MN · 9386

1361 WENNER RD, Detroit Lakes, MN 56501

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Other Identifiers 2

Other9386MN · State Of Mn Pa License

Other1033355Nccpa-nat.comm.cert.pa

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Sanford Health Plan.Insurance ›

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

Renae L 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 ID9537114855

PECOS Enrollment IDI20050318000529

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.

Areas of Expertise CMS Part B claims 2

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

71 services29 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

19 services16 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Essentia Health St Marys - Detroit Lakes

Acute Care Hospitals · Detroit Lakes, MN

OwnershipVoluntary non-profit - Church

CMS Certification Number240101

Location1027 Washington AveDetroit Lakes, MN 56501 · Becker County

Birthing friendly

Perham Health

Critical Access Hospitals · Perham, MN

OwnershipGovernment - Hospital District or Authority

CMS Certification Number241373

Location1000 Coney Street WestPerham, MN 56573 · Otter Tail County

Emergency services

Prairie Ridge Hospital And Health Services

Critical Access Hospitals · Elbow Lake, MN

OwnershipVoluntary non-profit - Private

CMS Certification Number241379

Location1411 Highway 79 EElbow Lake, MN 56531 · Grant County

Emergency services

Sanford Medical Center Fargo

Acute Care Hospitals · Fargo, ND

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number350011

Location801 Broadway NorthFargo, ND 58122 · Cass County

Emergency services Birthing friendly

Other Providers at the Same Location NPPES 6

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

HANS BJELLUM, MD, PC

Non-Pharmacy Dispensing Site