NICOLE LYNN MILLER (PA-C) – Surgical Physician Assistant, NPI 1265801880

NICOLE LYNN MILLER (PA-C) is a healthcare provider. based in Tampa, Florida. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA9109082 (FL). The NPI Number for NICOLE LYNN MILLER (PA-C) is 1265801880

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
NICOLE LYNN MILLER (PA-C)
NPI
1265801880
Phone
(813) 391-5389
Address
3523 TABERNACLE PL
Enumeration Date
24 September 2015
Last Update Date
20 August 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8139789700
Graduation Year
2015 (11 years ago)
PAC ID
2668777640
Group Practice PAC ID
4284532755
Professional Enrollment ID
I20160301000020
Address ID
FL346524226NE5243XLNXX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:10State licenses:1Digital endpointsOther names

9,231 PHYSICIAN ASSISTANT in FL

Provider Addresses for NICOLE LYNN MILLER (PA-C)

  • 3523 TABERNACLE PL

    TAMPA, FL 336075834

    Phone: (813) 391-5389

    Type: Mailing

  • 3890 TAMPA RD STE 202

    PALM HARBOR, FL 34684

    Phone: (727) 778-7557

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 9 Open Payments records for all available years, with a total value of $154.

Total Amount is formed as General ($154) + Research ($0) + Ownership ($0) = $154.

Last reported payment date: 2024-10-17 • Largest payer in this snapshot: Smith+Nephew, Inc. ($69).

Total Amount

$154

General + Research + Ownership

Payments

9

Total payment records

General Amount

$154

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-17

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2016-03-01

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
I20160301000020IPhysician AssistantFLTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
29827Repair of shoulder rotator cuff using an endoscope2929$0
29826Shaving of part of shoulder bone and repair of ligament using an endoscope2828$0
23472Prosthetic repair of shoulder joint, total shoulder2625$0
View full utilization report →

Insurance plans in this area (ZIP 33607)

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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: 4284532755View full group profile
NameSpecialtyState
-FL
Physical Therapist In Private PracticeNY
Orthopedic SurgeryFL
Physical Therapist In Private PracticeFL
Nurse PractitionerFL
-FL
Occupational Therapist In Private PracticeFL
Orthopedic SurgeryFL
Nurse PractitionerFL
Physical Therapist In Private PracticeFL

Reviews

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Frequently asked questions

How do I look up NICOLE LYNN MILLER (PA-C) by NPI?
Use NPI 1265801880 when you need to reference NICOLE LYNN MILLER (PA-C) in forms, claims, or directories.
Is NICOLE LYNN MILLER (PA-C) active in the national directory?
NICOLE LYNN MILLER (PA-C)'s public NPI profile is in an active state.
Does NICOLE LYNN MILLER (PA-C) list a primary specialty?
If you are matching referrals, note Surgical Physician Assistant for NICOLE LYNN MILLER (PA-C). Clinical services aligned with this taxonomy classification.
Where is NICOLE LYNN MILLER (PA-C)'s primary listing?
We display Tampa, Florida because that is what the record indicates for NICOLE LYNN MILLER (PA-C).
How can I contact NICOLE LYNN MILLER (PA-C)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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