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CARISSA MILLER NP
NPI 1942824842
Nurse Practitioner - Family in Fort Wayne, IN

Active since June 05, 2020PECOS Enrolled
707 ROLLINGWOOD LN, FORT WAYNE, IN 46845(260) 255-8752 Get Directions Write a Review

NPPES record last updated: August 21, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 21, 2020, Jun 5, 2020 (2 updates tracked since 2020).

About Carissa Miller Np NPPES

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

CARISSA MILLER NP (NPI 1942824842) is an individual family provider in Fort Wayne, Indiana, licensed in Indiana (71010075A) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1942824842
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCARISSA MILLERCredential: NP
Location Address707 ROLLINGWOOD LNFort Wayne, IN 46845-1088
Mailing Address707 Rollingwood LnFort Wayne, IN 46845-1088 · (260) 255-8752
Phone(260) 255-8752
Sole ProprietorYes
Enumeration DateJune 5, 2020
Last NPPES UpdateAugust 21, 20202 updates tracked since enumeration
NPPES CertifiedAugust 21, 2020
✔ NPI 1942824842 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 IN · 71010075A
707 ROLLINGWOOD LN, Fort Wayne, IN 46845
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, CareSource (Common Ground Healthcare).Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carissa Miller Np 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.

Medicare Billing Reassignment

Medicare enrollment records show Carissa Miller reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Brookview Medical Associates, PLLC
630 mi
General Practice
80 ORVILLE DR STE 100
Bohemia, NY 11716
  • Reassigned Medicare billing, New York enrollment
  • 754 clinicians in this Medicare group
NPI 1871965855 (972) 715-3800

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 46845 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

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 Carissa Miller's NPI number?

The NPI number for Carissa Miller is 1942824842. It was assigned to this individual provider in the NPPES registry on June 5, 2020.

Where is Carissa Miller located?

Carissa Miller practices at 707 Rollingwood Ln, Fort Wayne, IN 46845. The listed phone number is (260) 255-8752.

What is Carissa Miller's specialty?

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

Is Carissa Miller enrolled in Medicare?

Yes. Carissa Miller is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Carissa Miller's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carissa Miller reassigns Medicare benefits to Brookview Medical Associates, PLLC (Bohemia, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Carissa Miller's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Carissa Miller accept?

Health plans from CareSource and CareSource (Common Ground Healthcare) list Carissa Miller as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Carissa Miller was last updated on August 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.