RUSSELL MILLER (CNP) – Gerontology Nurse Practitioner, NPI 1013455922

RUSSELL MILLER (CNP) is a healthcare provider. based in Shelby township, Michigan. specializing in NURSE PRACTITIONER. They hold the professional credentials CNP. They hold a License No. 4704281165 (MI). The NPI Number for RUSSELL MILLER (CNP) is 1013455922

Main info

Male
Sole Proprietor
11 Years Of Experience
Accepts Medicare Assignment
Name
RUSSELL MILLER (CNP)
NPI
1013455922
Phone
(586) 731-8400
Address
50505 SCHOENHERR RD
Enumeration Date
11 February 2017
Last Update Date
11 February 2017

Doctor Profile

Medical School Name
UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Secondary Phone
5864459900
Graduation Year
2015 (11 years ago)
PAC ID
1759665292
Group Practice PAC ID
8628987468
Professional Enrollment ID
I20170301002297
Address ID
MI480353737CL34025AVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:9State licenses:1Digital endpointsOther names

8,105 NURSE PRACTITIONER in MI

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Provider Addresses for RUSSELL MILLER (CNP)

  • 50505, Schoenherr Road, Shelby Charter Township, Macomb County, Michigan, 48315, United States

    STE. 340

    SHELBY TOWNSHIP, MI 483153140

    Phone: (586) 731-8400

    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)

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: 2017-03-01

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
I20170301002297INurse PractitionerMITBD

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
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes77875$0
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes12641$0
99315Nursing facility discharge day management, 30 minutes or less1313$0
View full utilization report →

Insurance plans in this area (ZIP 48315)

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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: 8628987468View full group profile
NameSpecialtyState
Physician AssistantMI
Physician AssistantMI
Physician AssistantMI
-MI
Diagnostic RadiologyMI
Physician AssistantMI
Clinical PsychologistMI
Clinical PsychologistMI
N E U R O L O G YIL
Nurse PractitionerMI

Reviews

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Frequently asked questions

What is the registry number for RUSSELL MILLER (CNP)?
The registry entry for RUSSELL MILLER (CNP) shows NPI 1013455922.
Is RUSSELL MILLER (CNP)'s NPI status active today?
Active status means RUSSELL MILLER (CNP)'s NPI record is not deactivated in the public file.
What type of care does RUSSELL MILLER (CNP) provide?
RUSSELL MILLER (CNP)'s profile centers on Gerontology Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is RUSSELL MILLER (CNP) tied to Shelby Township, Michigan?
If you are local to Shelby Township, Michigan, RUSSELL MILLER (CNP) may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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