KANISHA L. MILLER (APRN) – Nurse Practitioner, NPI 1265099238
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
24,232 NURSE PRACTITIONER in FL
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Provider Addresses for KANISHA L. MILLER (APRN)
809, East Jefferson Street, Santa Clara, Quincy, Gadsden County, Florida, 32351, United States
QUINCY, FL 323512623
Phone: (850) 662-4070
Type: Location
3993 W 1st St
Sanford, FL 327719726
Phone: (386) 873-2963
Type: Location
201 W PLYMOUTH AVE
DELAND, FL 327202753
Phone: (407) 732-4272
Fax: (407) 732-4579
Type: Location
308, Ridge Road, Henrietta, Tallahassee, Leon County, Florida, 32305, United States
TALLAHASSEE, FL 323057006
Phone: (850) 443-3057
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 20 Open Payments records for all available years, with a total value of $450.
Total Amount is formed as General ($450) + Research ($0) + Ownership ($0) = $450.
Last reported payment date: 2024-12-04 • Largest payer in this snapshot: ABBVIE INC. ($180).
Total Amount
$450
General + Research + Ownership
Payments
20
Total payment records
General Amount
$450
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-04
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2019-10-15
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20191015001254 | I | Nurse Practitioner | FL | TBD |
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.
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 32351)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MO | |
| Nurse Practitioner | FL | |
| Physician Assistant | FL | |
| Clinical Social Worker | FL | |
| Mental Health Counselor | FL | |
| Nurse Practitioner | FL | |
| P S Y C H I A T R Y | FL | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | FL | |
| - | FL |
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