ANASTASIA BROOKE MILLIRON NPC
NPI 1669792859
Nurse Practitioner - Family in Caldwell, ID

Q: What is Anastasia Milliron's NPI number?

The NPI number for Anastasia Milliron is 1669792859. It was assigned to this individual provider in the NPPES registry on June 10, 2010. The provider is also known as Stacy Milliron.

Q: What is Anastasia Milliron's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since June 10, 2010PECOS Enrolled

4521 THOMAS JEFFERSON ST, CALDWELL, ID 83605(208) 454-4820 Get Directions Write a Review

NPPES record last updated: March 23, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Anastasia Brooke Milliron Npc NPPES

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

ANASTASIA BROOKE MILLIRON NPC (NPI 1669792859) is an individual family provider in Caldwell, Idaho, licensed in Idaho (NP987-A) and active in the NPI registry since June 2010. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1669792859

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameANASTASIA BROOKE MILLIRONCredential: NPC

Location Address4521 THOMAS JEFFERSON STCaldwell, ID 83605

Mailing Address4521 Thomas Jefferson StCaldwell, ID 83605-5100 · (208) 454-4820

Phone(208) 454-4820

Sole ProprietorNo

Enumeration DateJune 10, 2010

Last NPPES UpdateMarch 23, 2022

NPPES CertifiedMarch 23, 2022

✔ NPI 1669792859 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in ID · NP987-A

4521 THOMAS JEFFERSON ST, Caldwell, ID 83605

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Other Names 1

Other Name (5)Stacy Milliron

Secondary Practice Locations 2

Location 1708 E Wythe Creek Ct, #103Kuna, ID 83634-2473 · Phone (208) 922-5130 · Fax (208) 375-2217

Location 2500 W. Fort St., Caldwell CBOCBoise, ID 83702 · Phone (208) 454-4820

Other Identifiers 2

Medicaid003399100ID

Medicaid1669792859ID

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Anastasia Brooke Milliron Npc 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83605 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

$81.13 typical visit price

range $52.44 – $160.17

Typical copayment $20.28 (range $13.11 – $40.04)

Most-billed visit code 99203

Established Patient

$93.26 typical visit price

range $16.68 – $130.93

Typical copayment $23.31 (range $4.17 – $32.73)

Most-billed visit code 99214

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.

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