DR. KENNETH ANDREW MILLER MD
NPI 1962543496
Internal Medicine in Fort Atkinson, WI
About Dr. Kenneth Andrew Miller Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KENNETH ANDREW MILLER MD (NPI 1962543496) is an individual internal medicine provider in Fort Atkinson, Wisconsin, licensed in Wisconsin (29654) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS, is affiliated with Eastern Idaho Regional Medical Center, and maintains a secondary practice location in Post Falls.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Other Identifiers 1
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
Dr. Kenneth Andrew Miller Md 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.
Medicare Billing Reassignments
3Medicare enrollment records show Kenneth Miller reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Neillsville, WI 54456
- Reassigned Medicare billing, Wisconsin enrollment
- 1,283 clinicians in this Medicare group
Johnstown, CO 80534
- Reassigned Medicare billing, Idaho enrollment
- 40 clinicians in this Medicare group
Idaho Falls, ID 83404
- Reassigned Medicare billing, Idaho enrollment
- 56 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 3
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.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Eastern Idaho Regional Medical Center
Acute Care Hospitals · Idaho Falls, IDMountain View Hospital
Acute Care Hospitals · Idaho Falls, IDSteele Memorial Medical Center
Critical Access Hospitals · Salmon, IDTeton Valley Hospital
Critical Access Hospitals · Driggs, IDStar Valley Medical Center
Critical Access Hospitals · Afton, WYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 53538 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
FORT ATKINSON, WI 53538
FORT ATKINSON, WI 53538
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 Kenneth Miller's NPI number?
The NPI number for Kenneth Miller is 1962543496. It was assigned to this individual provider in the NPPES registry on February 9, 2007.
Where is Kenneth Miller located?
Kenneth Miller practices at 611 Sherman Ave E, Fort Atkinson, WI 53538. The listed phone number is (920) 568-6090.
What is Kenneth Miller's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Kenneth Miller enrolled in Medicare?
Yes. Kenneth Miller is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Kenneth Miller's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kenneth Miller reassigns Medicare benefits to 3 organizations: Memorial Hospital, Inc (Neillsville, WI), Vibra Physicians LLC (Johnstown, CO) and Utah Regional Hospitalists LLC (Idaho Falls, ID). Each 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 Kenneth Miller's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Kenneth Miller affiliated with any hospitals?
According to CMS data, Kenneth Miller is affiliated with Eastern Idaho Regional Medical Center, Mountain View Hospital, Steele Memorial Medical Center, Teton Valley Hospital and Star Valley Medical Center.
When was this NPI record last updated?
The NPPES record for Kenneth Miller was last updated on March 30, 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.
# Dr. Kenneth Andrew Miller, MD · NPI 1962543496
Internal Medicine physician in Fort Atkinson, Wisconsin. Individual provider, active in the CMS NPPES registry since February 9, 2007.
## Identity
- **NPI:** 1962543496 (Entity type: Individual)
- **Enumerated:** February 9, 2007
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 29654 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 611 SHERMAN AVE E, Fort Atkinson, WI 53538-1960
- **Phone:** (920) 568-6090 · **Fax:** (920) 568-6083
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Memorial Hospital, Inc (NPI 1679746747, Neillsville, WI); Vibra Physicians LLC (NPI 1659705424, Johnstown, CO); Utah Regional Hospitalists LLC (NPI 1740715507, Idaho Falls, ID) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Wisconsin School Of Medicine, class of 1987
## Record status
- **NPPES last updated:** March 30, 2020
- **Other identifiers:** Medicaid 1962543496 (WI)
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Source: [NPI Profile](https://npiprofile.com/npi/1962543496) · Data from the CMS NPPES public registry.