MR. COREY JAMES MILLER (APRN) – Family Nurse Practitioner, NPI 1699528877

MR. COREY JAMES MILLER (APRN) is a healthcare provider. based in Paducah, Kentucky. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 4009033 (KY). The NPI Number for MR. COREY JAMES MILLER (APRN) is 1699528877

Main info

Male
3 Years Of Experience
Accepts Medicare Assignment
Name
MR. COREY JAMES MILLER (APRN)
NPI
1699528877
Phone
(270) 217-1930
Address
604 N 36TH ST
Enumeration Date
8 April 2024
Last Update Date
8 April 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2705545114
Graduation Year
2023 (3 years ago)
PAC ID
4789026568
Group Practice PAC ID
5890143564
Professional Enrollment ID
I20240524000729
Address ID
KY420018405PA2725XBLVD400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

7,347 NURSE PRACTITIONER in KY

Provider Addresses for MR. COREY JAMES MILLER (APRN)

  • 604 N 36TH ST

    PADUCAH, KY 420014719

    Phone: (270) 217-1930

    Type: Mailing

  • 2725 JAMES SANDERS BLVD

    PADUCAH, KY 420018405

    Phone: (270) 554-5114

    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: 2024-05-24

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
I20240524000729INurse PractitionerKYTBD

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 42001)

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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: 5890143564View full group profile
NameSpecialtyState
Nurse PractitionerKY
Nurse PractitionerKY
Physical Therapist In Private PracticeKY
Physical Therapist In Private PracticeKY
Physical Therapist In Private PracticeMO

Reviews

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Frequently asked questions

What federal number belongs to MR. COREY JAMES MILLER (APRN)?
The federal identifier for MR. COREY JAMES MILLER (APRN) is NPI 1699528877.
Is MR. COREY JAMES MILLER (APRN) currently active in the NPI registry?
CMS-published data lists MR. COREY JAMES MILLER (APRN) as an active registrant.
Does MR. COREY JAMES MILLER (APRN) list a primary specialty?
If you are matching referrals, note Family Nurse Practitioner for MR. COREY JAMES MILLER (APRN). Clinical services aligned with this taxonomy classification.
Where is MR. COREY JAMES MILLER (APRN)'s primary listing?
We display Paducah, Kentucky because that is what the record indicates for MR. COREY JAMES MILLER (APRN).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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