DAN MILLER (CRNA) – Certified Registered Nurse Anesthetist, NPI 1104857580

DAN MILLER (CRNA) is a healthcare provider. based in Holly, Colorado. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 172987 (CO). The NPI Number for DAN MILLER (CRNA) is 1104857580

Main info

Male
21 Years Of Experience
Accepts Medicare Assignment
Name
DAN MILLER (CRNA)
NPI
1104857580
Phone
Not provided
Address
PO BOX 150
Enumeration Date
5 July 2006
Last Update Date
7 August 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7195844921
Graduation Year
2005 (21 years ago)
PAC ID
3870526536
Group Practice PAC ID
4385722511
Professional Enrollment ID
I20050919000074
Address ID
CO810032745PU400XXSTXX403
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

801 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in CO

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Provider Addresses for DAN MILLER (CRNA)

  • 150, Holly Circle, Sue Creek Landing, Essex, Baltimore County, Maryland, 21221, United States

    HOLLY, CO 810470150

    Phone:

    Type: Mailing

  • 4231, West 16th Avenue, West Colfax, Denver, Denver County, Colorado, 80204, United States

    DENVER, CO 802041335

    Phone: (719) 537-0712

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-09-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050919000074ICertified Registered Nurse Anesthetist (Crna)COTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 81047)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4385722511View full group profile
NameSpecialtyState
-CO
-CO
-CO
Vascular SurgeryCO
-CO
A N E S T H E S I O L O G YFL
-TX
Certified Registered Nurse Anesthetist (Crna)LA
-CO
A N E S T H E S I O L O G YCO

Reviews

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Frequently asked questions

Does DAN MILLER (CRNA) have a public NPI I can cite?
Public records show DAN MILLER (CRNA) under NPI 1104857580.
Is DAN MILLER (CRNA)'s NPI status active today?
Active status means DAN MILLER (CRNA)'s NPI record is not deactivated in the public file.
Which specialty label fits DAN MILLER (CRNA)?
NPPES ties DAN MILLER (CRNA) to Certified Registered Nurse Anesthetist in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is DAN MILLER (CRNA) tied to Holly, Colorado?
If you are local to Holly, Colorado, DAN MILLER (CRNA) may be relevant to your search.
Why is information missing for DAN MILLER (CRNA)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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