LORI RENEE MILLER (NP-C) – Dermatology Physician, NPI 1508419979

LORI RENEE MILLER (NP-C) is a healthcare provider. based in Springfield, Missouri. specializing in NURSE PRACTITIONER. They hold the professional credentials NP-C. They hold a License No. 2019021949 (MO). The NPI Number for LORI RENEE MILLER (NP-C) is 1508419979

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
LORI RENEE MILLER (NP-C)
NPI
1508419979
Phone
(417) 269-5712
Address
PO BOX 4046
Enumeration Date
24 July 2019
Last Update Date
26 February 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4179003407
Graduation Year
2019 (7 years ago)
PAC ID
5597093245
Group Practice PAC ID
3779471701
Professional Enrollment ID
I20190820001715
Address ID
MO658075239SP3850XAVEX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness85
Years active:6State licenses:1Digital endpointsOther names

7,017 NURSE PRACTITIONER in MO

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Provider Addresses for LORI RENEE MILLER (NP-C)

  • Springfield, Boulevard Émile Krieps, Oberkorn, Differdange, Canton Esch-sur-Alzette, 4543, Luxembourg

    SPRINGFIELD, MO 658084046

    Phone: (417) 269-5712

    Fax: (417) 269-7567

    Type: Mailing

  • 102, East Cleveland Avenue, Monett, Barry County, Missouri, 65708, United States

    MONETT, MO 657081405

    Phone: (417) 235-2144

    Fax: (417) 354-1412

    Type: Location

  • 1240 E INDEPENDENCE ST STE 200

    SPRINGFIELD, MO 658044201

    Phone: (417) 900-3407

    Fax: (417) 889-0476

    Type: Location

  • 1240 E INDEPENDENCE ST STE 100

    SPRINGFIELD, MO 658044201

    Phone: (417) 900-3407

    Fax: (417) 889-0476

    Type: Location

  • 2200 E CLEVELAND ST

    MONETT, MO 657086149

    Phone: (417) 900-3407

    Fax: (417) 889-0476

    Type: Location

  • 331 HOSPITAL DR STE C

    LEBANON, MO 655369251

    Phone: (417) 334-7200

    Fax: (417) 334-7299

    Type: Location

  • 590 BIRCH RD STE 2C

    HOLLISTER, MO 656729607

    Phone: (417) 815-6737

    Fax: (417) 690-3862

    Type: Location

  • 109 PINEHURST DR

    BRANSON, MO 656162796

    Phone: (417) 888-0858

    Fax: (417) 889-0476

    Type: Location

  • 801 YORK ST

    MANITOWOC, WI 542204630

    Phone: (920) 663-9008

    Fax: (920) 684-1439

    Type: Mailing

  • 3850 S NATIONAL AVE STE 705

    SPRINGFIELD, MO 658075239

    Phone: (417) 900-3407

    Fax: (417) 889-0476

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 42 Open Payments records for all available years, with a total value of $1,052.

Total Amount is formed as General ($1,052) + Research ($0) + Ownership ($0) = $1,052.

Last reported payment date: 2024-12-23 • Largest payer in this snapshot: Janssen Biotech, Inc. ($345).

Total Amount

$1,052

General + Research + Ownership

Payments

42

Total payment records

General Amount

$1,052

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-23

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: 2019-08-20

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
I20190820001715INurse PractitionerMOTBD

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
17003Destruction of precancer skin growth, 2-14 growths21639$0
11102Biopsy of related skin growth, first growth6767$0
17000Destruction of precancer skin growth, 1 growth5957$0
99203New patient office or other outpatient visit, 30-44 minutes5252$0
11103Biopsy of related skin growth, each additional growth4829$0
View full utilization report →

Insurance plans in this area (ZIP 65808)

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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: 3779471701View full group profile
NameSpecialtyState
-WI
Physician AssistantVA
-VA
D E R M A T O L O G YTX
-WI
D E R M A T O L O G YAL
D E R M A T O L O G YWI
-WI
Physician AssistantNY
D E R M A T O L O G YWA

Reviews

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Frequently asked questions

What federal number belongs to LORI RENEE MILLER (NP-C)?
The federal identifier for LORI RENEE MILLER (NP-C) is NPI 1508419979.
Does this profile mean LORI RENEE MILLER (NP-C) is currently active?
Yes — LORI RENEE MILLER (NP-C) appears active in the national provider directory.
Does LORI RENEE MILLER (NP-C) list a primary specialty?
If you are matching referrals, note Dermatology Physician for LORI RENEE MILLER (NP-C). Clinical services aligned with this taxonomy classification.
What location metadata exists for LORI RENEE MILLER (NP-C)?
The page summarizes Springfield, Missouri for LORI RENEE MILLER (NP-C); expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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