KRISTIN MILLER (NP) – Family Nurse Practitioner, NPI 1104399237

KRISTIN MILLER (NP) is a healthcare provider. based in Bourbonnais, Illinois. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 277003585 (IL). The NPI Number for KRISTIN MILLER (NP) is 1104399237

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
KRISTIN MILLER (NP)
NPI
1104399237
Phone
(815) 936-5186
Address
656 N CONVENT ST STE B
Enumeration Date
11 January 2019
Last Update Date
6 November 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8159378780
Graduation Year
2018 (8 years ago)
PAC ID
5890035091
Group Practice PAC ID
5597275685
Professional Enrollment ID
I20190326002627
Address ID
IL609144797BO100XXWAYX302
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:7State licenses:2Digital endpointsOther names

11,632 NURSE PRACTITIONER in IL

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Provider Addresses for KRISTIN MILLER (NP)

  • 656, North Convent Street, Bourbonnais, Kankakee County, Illinois, 60914, United States

    BOURBONNAIS, IL 609141393

    Phone: (815) 936-5186

    Type: Location

  • Navistar Drive, Lisle, DuPage County, Illinois, 60189-8172, United States

    LISLE, IL 605323661

    Phone: (224) 273-3381

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $194.

Total Amount is formed as General ($194) + Research ($0) + Ownership ($0) = $194.

Last reported payment date: 2024-11-01 • Largest payer in this snapshot: Novo Nordisk Inc ($82).

Total Amount

$194

General + Research + Ownership

Payments

8

Total payment records

General Amount

$194

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-01

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: 2019-03-26

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
I20190326002627INurse PractitionerILTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes269185$0
99213Established patient office or other outpatient visit, 20-29 minutes5043$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit2424$0
83036Hemoglobin a1c level1613$0
G0008Administration of influenza virus vaccine1111$0
View full utilization report →

Insurance plans in this area (ZIP 60914)

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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: 5597275685View full group profile
NameSpecialtyState
Physician AssistantIL
Interventional Cardiology, Cardiovascular Disease (Cardiology), Internal MedicineIL
P S Y C H I A T R YIL
Internal Medicine, GastroenterologyIN
Internal MedicineIL
Family PracticeIL
Interventional Cardiology, Cardiovascular Disease (Cardiology)IL
Internal MedicineIL
Family PracticeIL
Internal Medicine, Emergency MedicineMI

Reviews

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Frequently asked questions

What unique ID ties claims to KRISTIN MILLER (NP)?
NPI 1104399237 is assigned to KRISTIN MILLER (NP) under the national enumeration system.
Is KRISTIN MILLER (NP)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does KRISTIN MILLER (NP) list a primary specialty?
If you are matching referrals, note Family Nurse Practitioner for KRISTIN MILLER (NP). Clinical services aligned with this taxonomy classification.
What location shows for KRISTIN MILLER (NP)?
We surface Bourbonnais, Illinois for KRISTIN MILLER (NP) based on available NPPES addresses.
Is KRISTIN MILLER (NP) a real provider?
This page reflects official NPPES data for NPI 1104399237. Always confirm identity and privileges with the practice and licensing boards.