MR. WILLIAM T MILLER (NP) – Family Nurse Practitioner, NPI 1265716294

MR. WILLIAM T MILLER (NP) is a healthcare provider. based in Grand rapids, Michigan. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 4704409823 (MI). The NPI Number for MR. WILLIAM T MILLER (NP) is 1265716294

Main info

Male
15 Years Of Experience
Accepts Medicare Assignment
Name
MR. WILLIAM T MILLER (NP)
NPI
1265716294
Phone
Not provided
Address
100 MICHIGAN ST NE # MC845
Enumeration Date
10 October 2011
Last Update Date
16 April 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6163915600
Graduation Year
2011 (15 years ago)
PAC ID
2961677901
Group Practice PAC ID
4587568647
Professional Enrollment ID
I20240206000910
Address ID
MI495084600KE4444XSEXX401
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:14State licenses:1Digital endpointsOther names

8,105 NURSE PRACTITIONER in MI

Provider Addresses for MR. WILLIAM T MILLER (NP)

  • 100 MICHIGAN ST NE # MC845

    GRAND RAPIDS, MI 495032560

    Phone:

    Type: Mailing

  • 15100 WHITTAKER WAY

    GRAND HAVEN, MI 494178696

    Phone: (616) 935-6320

    Type: Location

  • PO BOX 1574

    OCEAN SHORES, WA 985691574

    Phone: (509) 780-3011

    Type: Mailing

  • 114 E CHANCE A LA MER NE

    OCEAN SHORES, WA 985699202

    Phone: (509) 780-3011

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $18.

Total Amount is formed as General ($18) + Research ($0) + Ownership ($0) = $18.

Last reported payment date: 2024-04-16 • Largest payer in this snapshot: Novo Nordisk Inc ($18).

Total Amount

$18

General + Research + Ownership

Payments

1

Total payment records

General Amount

$18

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-16

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Novo Nordisk Inc$18
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: 2024-02-06

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
I20240206000910INurse 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 49503)

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Provider's Procedures

MR. WILLIAM T MILLER (NP) performs procedures in NURSE PRACTITIONER. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
NURSE PRACTITIONERWA81002Urinalysis, manual test13794

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: 4587568647View full group profile
NameSpecialtyState
Critical Care (Intensivists)IL
Physician AssistantMI
Physician AssistantMI
Physician AssistantMI
-MI
Vascular SurgeryIL
-MI
-MI
A N E S T H E S I O L O G YTX
Clinical Social WorkerMI

Reviews

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Frequently asked questions

What NPI should I save for MR. WILLIAM T MILLER (NP)?
Save NPI 1265716294 if you need a stable reference for MR. WILLIAM T MILLER (NP).
Is MR. WILLIAM T MILLER (NP)'s NPI currently valid?
The extract we use shows MR. WILLIAM T MILLER (NP) as active.
What kind of provider is MR. WILLIAM T MILLER (NP)?
The page reflects Family Nurse Practitioner for MR. WILLIAM T MILLER (NP). Clinical services aligned with this taxonomy classification.
Where is MR. WILLIAM T MILLER (NP)'s primary listing?
We display Grand Rapids, Michigan because that is what the record indicates for MR. WILLIAM T MILLER (NP).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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