MRS. SHANDRA ANN MILLER (FNP) – Family Nurse Practitioner, NPI 1306444963

MRS. SHANDRA ANN MILLER (FNP) is a healthcare provider. based in Raymore, Missouri. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 2019043671 (MO). The NPI Number for MRS. SHANDRA ANN MILLER (FNP) is 1306444963

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
MRS. SHANDRA ANN MILLER (FNP)
NPI
1306444963
Phone
(816) 824-8905
Address
1415 CROSS CREEK DR
Enumeration Date
15 October 2020
Last Update Date
10 September 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8165796891
Graduation Year
2019 (7 years ago)
PAC ID
8224404892
Group Practice PAC ID
4688072358
Professional Enrollment ID
I20221024000235
Address ID
MO640504201IN11605SXXX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

7,017 NURSE PRACTITIONER in MO

Provider Addresses for MRS. SHANDRA ANN MILLER (FNP)

  • 1415 CROSS CREEK DR

    RAYMORE, MO 640839671

    Phone: (816) 824-8905

    Type: Mailing

  • 9840 W 87th St

    Overland Park, KS 662124564

    Phone: (913) 224-2112

    Fax: (913) 392-9703

    Type: Location

  • 102 WOODMONT BLVD STE 600

    NASHVILLE, TN 372055250

    Phone: (615) 314-5257

    Type: Mailing

  • 11605 E 23RD ST S

    INDEPENDENCE, MO 640504201

    Phone: (816) 579-6891

    Fax: (816) 579-6892

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $69.

Total Amount is formed as General ($69) + Research ($0) + Ownership ($0) = $69.

Last reported payment date: 2024-06-12 • Largest payer in this snapshot: Philips North America LLC ($36).

Total Amount

$69

General + Research + Ownership

Payments

3

Total payment records

General Amount

$69

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-12

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: 2024-03-06

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20221024000235INurse PractitionerMOTBD
I20240306002577INurse PractitionerKSTBD

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 64083)

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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: 4688072358View full group profile
NameSpecialtyState
Family PracticeTN
Nurse PractitionerMO
General PracticeMO
Family PracticeKS
Nurse PractitionerMO
Cardiovascular Disease (Cardiology)MO
Family PracticeMO
Family PracticeMO
Family PracticeIL
Physician AssistantMO

Reviews

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Frequently asked questions

What is the 10-digit NPI for MRS. SHANDRA ANN MILLER (FNP)?
MRS. SHANDRA ANN MILLER (FNP) — NPI 1306444963 — is the standard way to identify this listing.
Is MRS. SHANDRA ANN MILLER (FNP) listed as active for patients and plans?
The listing shows MRS. SHANDRA ANN MILLER (FNP) as active in the NPI system.
What is MRS. SHANDRA ANN MILLER (FNP) best known for clinically?
Directory data describes MRS. SHANDRA ANN MILLER (FNP) with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What address line appears for MRS. SHANDRA ANN MILLER (FNP)?
MRS. SHANDRA ANN MILLER (FNP)'s geographic hint is Raymore, Missouri in our summary view.
Why does MRS. SHANDRA ANN MILLER (FNP) have multiple addresses?
5 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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