MALISSA MILLER (NURSE PRACTITIONER) – Family Nurse Practitioner, NPI 1285113217
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
7,017 NURSE PRACTITIONER in MO
Provider Addresses for MALISSA MILLER (NURSE PRACTITIONER)
2070 McKelvey Rd
Maryland Heights, MO 630432308
Phone: (314) 434-1900
Type: Location
60, Regency Place, Millstadt, Saint Clair County, Illinois, 62260, United States
MILLSTADT, IL 622602210
Phone: (618) 476-3373
Fax: (618) 476-1890
Type: Mailing
107 N MAIN ST STE 2A
COLUMBIA, IL 622361757
Phone: (618) 693-9313
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 24 Open Payments records for all available years, with a total value of $438.
Total Amount is formed as General ($438) + Research ($0) + Ownership ($0) = $438.
Last reported payment date: 2024-10-02 • Largest payer in this snapshot: ABBVIE INC. ($196).
Total Amount
$438
General + Research + Ownership
Payments
24
Total payment records
General Amount
$438
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-02
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $196 |
| AstraZeneca Pharmaceuticals LP | $161 |
| Janssen Pharmaceuticals, Inc | $37 |
| Exact Sciences Corporation | $25 |
| Lilly USA, LLC | $19 |
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: 2018-10-08
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20181001002181 | I | Nurse Practitioner | MO | TBD |
| I20181008001657 | I | Nurse Practitioner | IL | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 83036 | Hemoglobin a1c level | 17 | 12 | $0 |
Insurance plans in this area (ZIP 63043)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MO | |
| - | MO | |
| - | IL | |
| - | MO | |
| - | MO | |
| Nurse Practitioner | MO | |
| - | MO | |
| - | MO | |
| Nurse Practitioner | MO | |
| Nurse Practitioner | MO |
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