MALISSA MILLER NURSE PRACTITIONER NPI 1285113217

NPI Information

  • NPI: 1285113217
  • Provider Name: MALISSA MILLER, NURSE PRACTITIONER
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 107 N MAIN ST STE 2A
    COLUMBIA, IL
    ZIP 62236
  • Phone: (618) 693-9313

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NPI Details

Malissa Miller, NURSE PRACTITIONER is a family nurse practitioner in Columbia, IL with 8 years of experience. Malissa Miller, NURSE PRACTITIONER NPI is 1285113217. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

107 N MAIN ST STE 2A
COLUMBIA, IL
ZIP 62236-757
Phone: (618) 693-9313

The NPI 1285113217 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Hemoglobin a1c level (HCPCS:83036)

The enumeration date for this NPI number is 8/10/2018 and was last updated on 11/28/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily277002437ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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