BRENNA LAINE MILLER (NP) – Adult Health Nurse Practitioner, NPI 1073109401

BRENNA LAINE MILLER (NP) is a healthcare provider. based in Milwaukie, Oregon. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 202008544NP-PP (OR). The NPI Number for BRENNA LAINE MILLER (NP) is 1073109401

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
BRENNA LAINE MILLER (NP)
NPI
1073109401
Phone
(619) 992-2543
Address
4560 SE INTERNATIONAL WAY STE 100
Enumeration Date
20 December 2020
Last Update Date
20 December 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9712065164
Graduation Year
2020 (6 years ago)
PAC ID
7315350576
Group Practice PAC ID
2860827821
Professional Enrollment ID
I20210106003134
Address ID
OR972224628MI4560XWAYX403
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

3,366 NURSE PRACTITIONER in OR

Provider Addresses for BRENNA LAINE MILLER (NP)

  • 4560 SE INTERNATIONAL WAY STE 100

    MILWAUKIE, OR 972224628

    Phone: (619) 992-2543

    Type: Mailing

  • 30900 SW PARKWAY AVE

    WILSONVILLE, OR 970707835

    Phone: (619) 992-2543

    Type: Location

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: 2021-01-06

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
I20210106003134INurse PractitionerORTBD

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
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes12855$0
99310Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes5955$0
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes1814$0
View full utilization report →

Insurance plans in this area (ZIP 97222)

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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: 2860827821View full group profile
NameSpecialtyState
-OR
Internal MedicineOR
Nurse PractitionerOR
Nurse PractitionerOR
Nurse PractitionerOR
Nurse PractitionerOR
-OR
Physician AssistantCA
Nurse PractitionerOR
Internal MedicineOR

Reviews

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Frequently asked questions

Does BRENNA LAINE MILLER (NP) have a public NPI I can cite?
Public records show BRENNA LAINE MILLER (NP) under NPI 1073109401.
Is BRENNA LAINE MILLER (NP) currently accepting referrals based on NPI status?
Registry metadata lists BRENNA LAINE MILLER (NP) as active.
Which specialty label fits BRENNA LAINE MILLER (NP)?
NPPES ties BRENNA LAINE MILLER (NP) to Adult Health Nurse Practitioner in the taxonomy section. Clinical services aligned with this taxonomy classification.
Can patients visit BRENNA LAINE MILLER (NP) in Milwaukie, Oregon?
For routing, start with Milwaukie, Oregon for BRENNA LAINE MILLER (NP), then verify phone and hours locally.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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