CRISTAL MILLER (PA-C) – Physician Assistant, NPI 1790727998

CRISTAL MILLER (PA-C) is a healthcare provider. based in Georgetown, Kentucky. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA922 (KY). The NPI Number for CRISTAL MILLER (PA-C) is 1790727998

Main info

Female
Sole Proprietor
21 Years Of Experience
Accepts Medicare Assignment
Name
CRISTAL MILLER (PA-C)
NPI
1790727998
Phone
(833) 510-4357
Address
1154A Lexington Rd
Enumeration Date
12 June 2006
Last Update Date
17 November 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8592571412
Graduation Year
2005 (21 years ago)
PAC ID
8123047404
Group Practice PAC ID
3072425289
Professional Enrollment ID
I20051116000191
Address ID
KY405360001LE101XXBLDG400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience72
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,728 PHYSICIAN ASSISTANT in KY

Provider Addresses for CRISTAL MILLER (PA-C)

  • 1154A Lexington Rd

    Georgetown, KY 403249330

    Phone: (833) 510-4357

    Type: Location

  • 1740 Nicholasville Rd

    Lexington, KY 405031431

    Phone: (859) 260-6348

    Fax: (859) 260-4350

    Type: Location

  • 615 ELSINORE PL STE 200

    CINCINNATI, OH 452021457

    Phone: (513) 834-7063

    Type: Mailing

  • 2400 GREATSTONE PT

    LEXINGTON, KY 405043274

    Phone: (859) 218-5999

    Fax: (859) 257-0670

    Type: Location

  • Versailles Road, Lexington, Woodford County, Kentucky, United States

    LEXINGTON, KY 405041795

    Phone: (859) 259-2635

    Fax: (859) 254-7874

    Type: Mailing

  • 1154A LEXINGTON RD

    GEORGETOWN, KY 403249330

    Phone: (833) 510-4357

    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: 2005-11-16

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
I20051116000191IPhysician AssistantKYTBD

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 40324)

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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: 3072425289View full group profile
NameSpecialtyState
Nurse PractitionerKY
Nurse PractitionerKY
Certified Registered Nurse Anesthetist (Crna)KY
Nurse PractitionerKY
-KY
-KY
Nurse PractitionerAR
Physician AssistantKY
Physician AssistantKY
-KY

Reviews

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Frequently asked questions

Can I cross-check CRISTAL MILLER (PA-C) using NPI 1790727998?
NPI 1790727998 belongs to CRISTAL MILLER (PA-C); compare other details if you need extra assurance.
Is CRISTAL MILLER (PA-C) shown as active in public data?
Registry records indicate CRISTAL MILLER (PA-C) maintains an active NPI.
What expertise is attributed to CRISTAL MILLER (PA-C)?
CRISTAL MILLER (PA-C)'s specialty line reads Physician Assistant. Clinical services aligned with this taxonomy classification.
What locale is associated with CRISTAL MILLER (PA-C)?
Directory geography for CRISTAL MILLER (PA-C) centers on Georgetown, Kentucky.
Can I trust this NPI listing for CRISTAL MILLER (PA-C)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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