RENAE L MILLER (NPI# 1669523718) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669523718 |
| Entity Type | Individual |
| Full Name | RENAE L MILLER |
| Credential | PA-C |
| Practice Address |
Bridges Medical Center 201 9th Street W. Ada MN 56510 |
| Mailing Address |
415 Jefferson St North Tri-country Hospital Wadena MN 56482-1296 |
| Practice Telephone | 2187845000 |
| Mailing Telephone | 2186313510 |
| Mailing Fax Number | 2186317507 |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2013-10-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
9386 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCCPA-NAT.COMM.CERT.PA | 1033355 | 01 | |
| MN | STATE OF MN PA LICENSE | 9386 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790242196 | Renae Miller | Occupational Therapist | 4142 Bonney Rd, Virginia Beach, VA 23452-1711 | 2019-02-22 |
| 1669626974 | Renae K Miller | Massage Therapist | 800 Sprague Ave, Suite 102, Walla Walla, WA 99362 | 2008-11-13 |
| 1821285453 | Renae Elizabeth Miller | Counselor | 3248 Vandever Ave, Pekin, IL 61554-6257 | 2007-09-27 |
| Street Address |
BRIDGES MEDICAL CENTER 201 9TH STREET W. |
| City | ADA |
| State | MN |
| Zip Code | 56510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508917659 | Angela Marie Skyberg | Physician Assistant | Bridges Medical Center, 201 9th Street W., Ada, MN 56510 | 2007-01-16 |
| 1598908543 | Amy C. Haen-sawrey | Speech-Language Pathologist | Bridges Medical Center, 201 9th Street West, Ada, MN 56510 | 2009-04-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104915990 | David Carl Solseng | Optometrist | 402 E 3rd St, Suite #1, Ada, MN 56510 | 2006-10-12 |
| 1982612099 | Sandra Lee Martsching | Family Medicine | 201 9th Street West, Bridges Medical Center, Ada, MN 56510 | 2006-08-04 |
| 1326579335 | Bridges Medical Center | Ambulance | 201 9th St W, Ada, MN 56510 | 2017-03-22 |
| 1447310636 | Prairie Dental Centers Pa | Dentist | 200 E Main St, Ada, MN 56510 | 2006-12-11 |
| 1043309651 | Thrifty Drug Stores Inc | Pharmacy | 319 W Main St, Ada, MN 56510 | 2006-10-12 |
| 1336241785 | Kennedy Henry Thomas | Chiropractor | 406 E Main St, Ada, MN 56510 | 2006-09-05 |
| 1336315043 | Peter Paul Foderick | General Practice | 506 4th Ave W, 506 Fourth Ave.w, Ada, MN 56510-1011 | 2008-05-02 |
| 1710074109 | Independent School District #2854 | Local Education Agency (LEA) | 604 W Thorpe Ave, Ada, MN 56510-1027 | 2006-10-06 |
| 1306836598 | Bridges Medical Center | General Acute Care Hospital | 201 9th St W, Ada, MN 56510-1243 | 2005-10-27 |
| 1043470362 | Bridges Care Center | Assisted Living Facility | 201 9th St W, Suite #2, Ada, MN 56510-1243 | 2008-06-10 |
| Find all providers in zip 56510 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477964799 | Julie Vander-starre | Physician Assistant | 6609 Rix St Se, Ada, MI 49301-9018 | 2014-05-09 |
| 1023587649 | Lauren Little Axe | Physician Assistant | 1921 Stonecipher Dr, Ada, OK 74820-3439 | 2018-11-14 |
| 1609313824 | Anna Brooke Vass | Physician Assistant | 721 Better Now Plz, Ada, OK 74820 | 2017-01-25 |
| 1023356342 | Ada Health First Inc | Physician Assistant | 1201 Arlington St, Suite F, Ada, OK 74820-4072 | 2013-01-21 |
| 1659618197 | Jon W Haney | Physician Assistant | 1921 Stonecipher Dr, Ada, OK 74820-3439 | 2013-01-03 |
| 1922303759 | Sarah Wischmeyer Niese | Physician Assistant | 520 W Lincoln Ave, Suite A, Ada, OH 45810-9466 | 2011-01-26 |
| 1730416025 | Megan M Shellenberger | Physician Assistant | 1921 Stonecipher Dr, Ada, OK 74820 | 2009-11-08 |
| 1922243567 | Desiree Hauenstein | Physician Assistant | 520 W Lincoln Ave, Suite A, Ada, OH 45810-9466 | 2008-12-11 |
| 1669676961 | Kasey Lee Brundidge | Physician Assistant | 1201 Arlington St, Ste F, Ada, OK 74820-4072 | 2007-06-12 |
| 1114094158 | Gerald D Ward | Physician Assistant | 1001 N Country Club Rd, Ada, OK 74820-2847 | 2006-11-28 |
| Find all providers in ADA | ||||
Please comment or provide details below to improve the information on RENAE L MILLER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.