STEPHANIE A MIILLER – Audiologist, NPI 1396917407

STEPHANIE A MIILLER is a healthcare provider. based in Brighton, Michigan. specializing in QUALIFIED AUDIOLOGIST. They hold a License No. 257 (NE). The NPI Number for STEPHANIE A MIILLER is 1396917407

Main info

Female
22 Years Of Experience
Accepts Medicare Assignment
Name
STEPHANIE A MIILLER
NPI
1396917407
Phone
(810) 844-7680
Address
7575 Grand River Rd
Enumeration Date
28 March 2008
Last Update Date
4 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6169942770
Graduation Year
2004 (22 years ago)
PAC ID
1052480514
Group Practice PAC ID
4183868094
Professional Enrollment ID
I20110810000199
Address ID
MI493169484CA6470XSEXX500

Contacts

Secure Messaging
stephaniemiiller@tic.allscriptsdirect.net
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness95
Years active:18State licenses:2Other names

302 QUALIFIED AUDIOLOGIST in MI

Provider Addresses for STEPHANIE A MIILLER

  • 7575 Grand River Rd

    Brighton, MI 481149309

    Phone: (810) 844-7680

    Type: Location

  • 3100 N WELLNESS DR

    HOLLAND, MI 494248122

    Phone: (169) 942-7706

    Fax: (616) 920-6533

    Type: Mailing

  • 7147 VISTA DR STE 150

    WEST DES MOINES, IA 502669317

    Phone: (515) 875-9925

    Type: Mailing

  • 5950 UNIVERSITY AVE STE 265

    WEST DES MOINES, IA 502668233

    Phone: (515) 875-9450

    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: 2011-08-10

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
I20110810000199IQualified AudiologistMITBD

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 48114)

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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: 4183868094View full group profile
NameSpecialtyState
Qualified AudiologistMI
Physician AssistantMI
Physician AssistantMI
Qualified AudiologistMI
Qualified AudiologistMI
Physical Therapist In Private PracticeMI
Qualified AudiologistMI
Physician AssistantMI
Physician AssistantFL
O T O L A R Y N G O L O G YMI

Reviews

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Frequently asked questions

What NPI should I save for STEPHANIE A MIILLER?
Save NPI 1396917407 if you need a stable reference for STEPHANIE A MIILLER.
Is STEPHANIE A MIILLER's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does STEPHANIE A MIILLER list a primary specialty?
If you are matching referrals, note Audiologist for STEPHANIE A MIILLER. Clinical services aligned with this taxonomy classification.
Does STEPHANIE A MIILLER practice in Michigan?
You will see Brighton, Michigan on file for STEPHANIE A MIILLER alongside any extra practice locations.
How can I contact STEPHANIE A MIILLER?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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