LUANN B MILLER (FNP) – Family Nurse Practitioner, NPI 1649321860
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for LUANN B MILLER (FNP)
800 Ste Genevieve Dr
Ste Genevieve, MO 636701434
Phone: (573) 883-2751
Fax: (573) 883-4472
Type: Location
Jefferson County Health Center, 2000, South Main Street, Fairfield, Jefferson County, Iowa, 52556, United States
FAIRFIELD, IA 525569572
Phone: (641) 472-4156
Fax: (641) 472-9436
Type: Location
PO BOX 468
STE GENEVIEVE, MO 636700468
Phone: (573) 883-2751
Fax: (573) 883-4472
Type: Mailing
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: 2019-07-08
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 |
|---|---|---|---|---|
| I20071101000722 | I | Nurse Practitioner | MO | TBD |
| I20190708000277 | I | Nurse Practitioner | IA | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 63670)
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Group practice members
- 1
- 2
- 3
| Name | Specialty | State |
|---|---|---|
| - | FL | |
| Physician Assistant | IA | |
| Physician Assistant | IA | |
| - | MI | |
| Orthopedic Surgery | IA | |
| Certified Registered Nurse Anesthetist (Crna) | MO | |
| - | IA | |
| A N E S T H E S I O L O G Y | IA | |
| - | OH | |
| Certified Registered Nurse Anesthetist (Crna) | IA |
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