MS. CARISSA MILLER (AGNP-BC) – Primary Care Nurse Practitioner, NPI 1154076776

MS. CARISSA MILLER (AGNP-BC) is a healthcare provider. based in Bel air, Maryland. specializing in NURSE PRACTITIONER. They hold the professional credentials AGNP-BC. They hold a License No. R183678 (MD). The NPI Number for MS. CARISSA MILLER (AGNP-BC) is 1154076776

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
MS. CARISSA MILLER (AGNP-BC)
NPI
1154076776
Phone
(410) 638-8900
Address
615 W MACPHAIL RD STE 105&106
Enumeration Date
14 February 2022
Last Update Date
14 February 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4106388900
Graduation Year
2021 (5 years ago)
PAC ID
5799172730
Group Practice PAC ID
3971499971
Professional Enrollment ID
I20220421002750
Address ID
MD210144393BE615XXRDXX402
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

6,767 NURSE PRACTITIONER in MD

Provider Addresses for MS. CARISSA MILLER (AGNP-BC)

  • 615 W MACPHAIL RD STE 105&106

    BEL AIR, MD 210144309

    Phone: (410) 638-8900

    Fax: (410) 638-8916

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 18 Open Payments records for all available years, with a total value of $361.

Total Amount is formed as General ($361) + Research ($0) + Ownership ($0) = $361.

Last reported payment date: 2024-10-22 • Largest payer in this snapshot: Exact Sciences Corporation ($59).

Total Amount

$361

General + Research + Ownership

Payments

18

Total payment records

General Amount

$361

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-22

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: 2022-04-21

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
I20220421002750INurse PractitionerMDTBD

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 minutes215171$0
99213Established patient office or other outpatient visit, 20-29 minutes207173$0
99212Established patient office or other outpatient visit, 10-19 minutes125109$0
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count7468$0
80053Blood test, comprehensive group of blood chemicals4845$0
View full utilization report →

Insurance plans in this area (ZIP 21014)

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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: 3971499971View full group profile
NameSpecialtyState
Nurse PractitionerMD
Nurse PractitionerMD
Nurse PractitionerMD
Nurse PractitionerMD
Nurse PractitionerMD
Internal MedicineMD
-MD
Emergency MedicineMD
Internal MedicineMD
Family PracticeMD

Reviews

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Frequently asked questions

How is MS. CARISSA MILLER (AGNP-BC) identified in CMS data?
CMS-hosted NPPES data lists MS. CARISSA MILLER (AGNP-BC) with NPI 1154076776.
Does the file indicate MS. CARISSA MILLER (AGNP-BC) is practicing under active NPI?
Directory data currently reports MS. CARISSA MILLER (AGNP-BC) as active.
What is MS. CARISSA MILLER (AGNP-BC)'s specialty?
The listing groups MS. CARISSA MILLER (AGNP-BC) with Primary Care Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What area does MS. CARISSA MILLER (AGNP-BC) serve?
MS. CARISSA MILLER (AGNP-BC)'s listing highlights Bel Air, Maryland; more addresses can appear in NPPES.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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