ANTOINETTE MARIE MILLER (NP) – Nurse Practitioner, NPI 1053854729
Nurse Practitioner
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
11,632 NURSE PRACTITIONER in IL
Provider Addresses for ANTOINETTE MARIE MILLER (NP)
PO BOX 3988
CARBONDALE, IL 629023988
Phone: (618) 457-5200
Type: Mailing
404 LINCOLN DR
HERRIN, IL 62948
Phone: (189) 970-1666
Fax: (618) 998-8055
Type: Location
515 N Main St Ste C
Anna, IL 629061668
Phone: (618) 833-2872
Fax: (618) 833-9433
Type: Location
900 N Washington St
Du Quoin, IL 628321233
Phone: (618) 542-1045
Fax: (618) 542-4756
Type: Location
3331 W DEYOUNG ST STE 301
MARION, IL 629595898
Phone: (618) 998-7239
Fax: (618) 998-4365
Type: Mailing
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: 2018-01-08
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 |
|---|---|---|---|---|
| I20180108000851 | I | Nurse Practitioner | IL | 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 62902)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Hospitalist, Family Practice | IL | |
| Internal Medicine, Hospitalist | IL | |
| Pulmonary Disease | NM | |
| Family Practice, Internal Medicine | IL | |
| Physician Assistant | IL | |
| Nurse Practitioner | IL | |
| H E M A T O L O G Y/ O N C O L O G Y | IL | |
| H O S P I T A L I S T | MO | |
| Neurology, Critical Care (Intensivists) | IN | |
| N E P H R O L O G Y | IL |
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