Carmen L Miller, - Medicare Nurse Practitioner in Waupaca, WI

Carmen L Miller, is a medicare enrolled "Nurse Practitioner - Family" in Waupaca, Wisconsin. She graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Thedacare, Incorporated and her current practice location is 710 Riverside Dr, Waupaca, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (715) 256-3000.

Carmen L Miller is licensed to practice in Wisconsin (license number 8238) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1104339001.

Contact Information

Carmen L Miller,
710 Riverside Dr,
Waupaca, WI 54981-1941
(715) 256-3000
(715) 256-3079

Map and Direction




Provider's Profile

Full NameCarmen L Miller
GenderFemale
SpecialityNurse Practitioner
Experience7 Years
Location710 Riverside Dr, Waupaca, Wisconsin
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Carmen L Miller graduated from nursing school in 2017
  NPI Data:
  • NPI Number: 1104339001
  • Provider Enumeration Date: 11/14/2017
  • Last Update Date: 02/19/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 6002177417
  • Enrollment ID: I20180228000208

Medical Identifiers

Medical identifiers for Carmen L Miller such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104339001NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 159127 (Wisconsin)Secondary
363LF0000XNurse Practitioner - Family 8238 (Wisconsin)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Thedacare Medical Center-waupacaWaupaca, WIHospital
Thedacare Regional Med Ctr - NeenahNeenah, WIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Thedacare, Incorporated1759294887509

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Carmen L Miller allows following entities to bill medicare on her behalf.
Entity NameThedacare, Incorporated
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376656959
PECOS PAC ID: 1759294887
Enrollment ID: O20031106000088
Entity NameThedacare Medical Center - Waupaca, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780782680
PECOS PAC ID: 3072504216
Enrollment ID: O20040524000645

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Carmen L Miller is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Carmen L Miller,
122 E College Ave,
Appleton, WI 54911-5794

Ph: (920) 996-3264
Carmen L Miller,
710 Riverside Dr,
Waupaca, WI 54981-1941

Ph: (715) 256-3000

Reviews and Comments


Nurse Practitioner Nurses in Waupaca, WI

Mary M. Beatty-roloff, APNP
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Phone: 715-258-2108    Fax: 715-942-2199
Tammy M Flynn, APNP,PMHNP
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Practice Location: E1634 Park View Way, Waupaca, WI 54981
Phone: 920-939-5526    
Bradley Klein, APNP
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Medicare: Accepting Medicare Assignments
Practice Location: 710 Riverside Dr, Waupaca, WI 54981
Phone: 715-256-3000    Fax: 715-256-3079
Catherine A Anderson, APNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 5993 County Road Dd, Waupaca, WI 54981
Phone: 715-824-6769    
Mrs. Carri Lynn Schacherl, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 190 Grand Seasons Dr, Waupaca, WI 54981
Phone: 715-258-3650    
Janice A Hahn-peskie, APNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 710 Riverside Dr, Waupaca, WI 54981
Phone: 715-258-1160    Fax: 715-256-3079
Jessica A Grant, APNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 710 Riverside Dr, Waupaca, WI 54981
Phone: 715-256-3000    Fax: 715-256-3028

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.