KENZIE MILLER – Nurse Practitioner, NPI 1013388248

KENZIE MILLER is a healthcare provider. based in Canton, Ohio. specializing in NURSE PRACTITIONER. They hold a License No. COA.18149-NP (OH). The NPI Number for KENZIE MILLER is 1013388248

Main info

Female
Sole Proprietor
11 Years Of Experience
Accepts Medicare Assignment
Name
KENZIE MILLER
NPI
1013388248
Phone
(330) 363-9632
Address
2600 TUSCARAWAS ST W
Enumeration Date
14 October 2015
Last Update Date
14 October 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2015 (11 years ago)
PAC ID
0244514990
Group Practice PAC ID
3476643479
Professional Enrollment ID
I20170224002117
Address ID
OH447101702CA2600XSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:10State licenses:1Digital endpointsOther names

14,984 NURSE PRACTITIONER in OH

Provider Addresses for KENZIE MILLER

  • 2600 TUSCARAWAS ST W

    CANTON, OH 447084644

    Phone: (330) 363-9632

    Type: Location

  • 3215 FOXFORD CT

    AKRON, OH 443124654

    Phone:

    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: 2017-02-24

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
I20170224002117INurse PractitionerOHTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes1312$0
View full utilization report →

Insurance plans in this area (ZIP 44708)

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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: 3476643479View full group profile
NameSpecialtyState
Orthopedic SurgeryOH
General SurgeryOH
Nurse PractitionerOH
Nurse PractitionerOH
Nurse PractitionerOH
Physician AssistantOH
Nurse PractitionerOH
Radiation OncologyCA
U R O L O G YGA
P O D I A T R YOH

Reviews

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Frequently asked questions

What number should I use to identify KENZIE MILLER for billing?
Administrative and clinical systems typically use NPI 1013388248 for KENZIE MILLER.
Does the public listing show KENZIE MILLER as active?
KENZIE MILLER's NPI record reflects an active status in NPPES.
How should patients interpret KENZIE MILLER's specialty?
The extract shows Nurse Practitioner for KENZIE MILLER. Clinical services aligned with this taxonomy classification.
What geographic area is tied to KENZIE MILLER?
KENZIE MILLER is associated with Canton, Ohio in the same public data insurers reference.
Why is information missing for KENZIE MILLER?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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