CARRICK MILLER – Physician Assistant, NPI 1215728845

CARRICK MILLER is a healthcare provider. based in Millersburg, Ohio. specializing in PHYSICIAN ASSISTANT. The NPI Number for CARRICK MILLER is 1215728845

Main info

Male
1 Year Of Experience
Accepts Medicare Assignment
Name
CARRICK MILLER
NPI
1215728845
Phone
(330) 600-9953
Address
8739 PRIVATE ROAD 343
Enumeration Date
14 May 2025
Last Update Date
14 May 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3306743333
Graduation Year
2025 (1 year ago)
PAC ID
2163918111
Group Practice PAC ID
6002916194
Professional Enrollment ID
I20251230001282
Address ID
OH446541570MI1261XRDXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience17
Completeness75
Years active:1State licenses:0Digital endpointsOther names

5,032 PHYSICIAN ASSISTANT in OH

Provider Addresses for CARRICK MILLER

  • 8739 PRIVATE ROAD 343

    MILLERSBURG, OH 446548494

    Phone: (330) 600-9953

    Mailing address matches the actual address.

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: 2025-12-30

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
I20251230001282IPhysician AssistantOHTBD

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 44654)

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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: 6002916194View full group profile
NameSpecialtyState
Cardiovascular Disease (Cardiology)OH
Cardiovascular Disease (Cardiology)OH
Cardiovascular Disease (Cardiology), Internal MedicineOH
Nurse PractitionerOH
Nurse PractitionerOH
Certified Registered Nurse Anesthetist (Crna)PA
Certified Nurse Midwife (Cnm)OH
Internal Medicine, Family PracticeOH
-NC
Nurse PractitionerOH

Reviews

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Frequently asked questions

How is CARRICK MILLER identified in CMS data?
CMS-hosted NPPES data lists CARRICK MILLER with NPI 1215728845.
Does the file indicate CARRICK MILLER is practicing under active NPI?
Directory data currently reports CARRICK MILLER as active.
What is CARRICK MILLER's primary classification?
Physician Assistant is the headline specialty for CARRICK MILLER here. Clinical services aligned with this taxonomy classification.
Where is CARRICK MILLER based?
CARRICK MILLER is tied to Millersburg, Ohio in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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