KIMBERLY A MILLER (PA-C) – Physician Assistant, NPI 1851874416

KIMBERLY A MILLER (PA-C) is a healthcare provider. based in Saint cloud, Minnesota. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PAC0872 (ND). The NPI Number for KIMBERLY A MILLER (PA-C) is 1851874416

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
KIMBERLY A MILLER (PA-C)
NPI
1851874416
Phone
(320) 259-4100
Address
3315 Roosevelt Rd Ste 200B
Enumeration Date
10 September 2018
Last Update Date
27 September 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3202594100
Graduation Year
2018 (8 years ago)
PAC ID
7315284809
Group Practice PAC ID
0143113951
Professional Enrollment ID
I20190122001928
Address ID
MN563772554SA1901XSXXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness75
Years active:7State licenses:2Digital endpointsOther names

4,031 PHYSICIAN ASSISTANT in MN

Provider Addresses for KIMBERLY A MILLER (PA-C)

  • 3315 Roosevelt Rd Ste 200B

    Saint Cloud, MN 563019687

    Phone: (320) 259-4100

    Fax: (320) 257-5523

    Type: Location

  • 591 QUAIL DR E

    LITCHFIELD, MN 553553619

    Phone: (320) 282-7324

    Type: Mailing

  • Sanford Bemidji Medical Center, 1300, Anne Street Northwest, Hillcrest Manor, Bemidji, Beltrami County, Minnesota, 56601, United States

    BEMIDJI, MN 566015103

    Phone: (218) 751-9746

    Fax: (218) 759-0620

    Type: Location

  • 1901 CONNECTICUT AVE S

    SARTELL, MN 563772554

    Phone: (320) 259-4100

    Fax: (320) 257-5523

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $201.

Total Amount is formed as General ($201) + Research ($0) + Ownership ($0) = $201.

Last reported payment date: 2024-09-17 • Largest payer in this snapshot: Medical Device Business Services, Inc. ($97).

Total Amount

$201

General + Research + Ownership

Payments

4

Total payment records

General Amount

$201

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-17

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: 2019-01-22

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
I20190122001928IPhysician AssistantMNTBD

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
J0702Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg3620$0
20550Injection into tendon or ligament2715$0
99214Established patient office or other outpatient visit, 30-39 minutes2727$0
99213Established patient office or other outpatient visit, 20-29 minutes2726$0
73140X-ray of finger, minimum of 2 views2521$0
View full utilization report →

Insurance plans in this area (ZIP 56301)

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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: 0143113951View full group profile
NameSpecialtyState
Physician AssistantMN
Physical Therapist In Private PracticeMN
Physical Therapist In Private PracticeMN
Physical Therapist In Private PracticeMN
Occupational Therapist In Private PracticeMN
Physical Therapist In Private PracticeMN
-MN
-MN
P O D I A T R YMN
Physician AssistantMN

Reviews

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Frequently asked questions

How is KIMBERLY A MILLER (PA-C) identified in CMS data?
CMS-hosted NPPES data lists KIMBERLY A MILLER (PA-C) with NPI 1851874416.
Can I rely on KIMBERLY A MILLER (PA-C) being an active provider?
As of the registry snapshot, KIMBERLY A MILLER (PA-C) is marked active.
What taxonomy line describes KIMBERLY A MILLER (PA-C)?
For research purposes, treat KIMBERLY A MILLER (PA-C) as Physician Assistant in this dataset. Clinical services aligned with this taxonomy classification.
Does KIMBERLY A MILLER (PA-C) list a practice location?
Patients near Saint Cloud, Minnesota may find KIMBERLY A MILLER (PA-C) in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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