MR. KEVIN WAYNE MILLER (FNP-C) – Nurse Practitioner, NPI 1205494499

MR. KEVIN WAYNE MILLER (FNP-C) is a healthcare provider. based in Lubbock, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-C. They hold a License No. AP139593 (TX). The NPI Number for MR. KEVIN WAYNE MILLER (FNP-C) is 1205494499

Main info

Male
17 Years Of Experience
Accepts Medicare Assignment
Name
MR. KEVIN WAYNE MILLER (FNP-C)
NPI
1205494499
Phone
(806) 725-0000
Address
3514 21st St
Enumeration Date
3 June 2019
Last Update Date
30 May 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8067884368
Graduation Year
2009 (17 years ago)
PAC ID
1355676479
Group Practice PAC ID
7416043161
Professional Enrollment ID
I20190711002806
Address ID
TX794243017LU5115XSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:7State licenses:1Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

Provider Addresses for MR. KEVIN WAYNE MILLER (FNP-C)

  • 3514 21st St

    Lubbock, TX 794101210

    Phone: (806) 725-0000

    Type: Location

  • 5115, 80th Street, Lubbock, Lubbock County, Texas, 79424, United States

    LUBBOCK, TX 79424

    Phone: (806) 788-4368

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 331 Open Payments records for all available years, with a total value of $6,368.

Total Amount is formed as General ($6,368) + Research ($0) + Ownership ($0) = $6,368.

Last reported payment date: 2024-12-29 • Largest payer in this snapshot: ABBVIE INC. ($1,909).

Total Amount

$6,368

General + Research + Ownership

Payments

331

Total payment records

General Amount

$6,368

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-29

Latest reported date

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: 2019-07-11

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
I20190711002806INurse PractitionerTXTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes136124$0
99214Established patient office or other outpatient visit, 30-39 minutes7369$0
99212Established patient office or other outpatient visit, 10-19 minutes5049$0
99204New patient office or other outpatient visit, 45-59 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 79410)

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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: 7416043161View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)TX
Nurse PractitionerTX
Certified Registered Nurse Anesthetist (Crna)TX
Gastroenterology, Internal MedicineTX
Gastroenterology, Internal MedicineAL
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)MO
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)TX

Reviews

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Frequently asked questions

Does MR. KEVIN WAYNE MILLER (FNP-C) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — MR. KEVIN WAYNE MILLER (FNP-C) uses 1205494499.
Does the file indicate MR. KEVIN WAYNE MILLER (FNP-C) is practicing under active NPI?
Directory data currently reports MR. KEVIN WAYNE MILLER (FNP-C) as active.
What taxonomy line describes MR. KEVIN WAYNE MILLER (FNP-C)?
For research purposes, treat MR. KEVIN WAYNE MILLER (FNP-C) as Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect MR. KEVIN WAYNE MILLER (FNP-C) on a map?
Expect Lubbock, Texas as a primary anchor for MR. KEVIN WAYNE MILLER (FNP-C) unless the record lists multiple sites.
Why does MR. KEVIN WAYNE MILLER (FNP-C) have multiple addresses?
3 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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