LAUREN ALEXIS MILLER – Student in an Organized Health Care Education/Training Program, NPI 1215799762

LAUREN ALEXIS MILLER is a healthcare provider. based in Norfolk, Virginia. specializing in PHYSICIAN ASSISTANT. The NPI Number for LAUREN ALEXIS MILLER is 1215799762

Main info

Female
Sole Proprietor
2 Years Of Experience
Accepts Medicare Assignment
Name
LAUREN ALEXIS MILLER
NPI
1215799762
Phone
(757) 446-5600
Address
825 FAIRFAX AVE
Enumeration Date
29 January 2024
Last Update Date
29 January 2024

Doctor Profile

Medical School Name
EASTERN VIRGINIA MEDICAL SCHOOL
Secondary Phone
7575648535
Graduation Year
2024 (2 years ago)
PAC ID
3971038738
Group Practice PAC ID
7113902925
Professional Enrollment ID
I20241203002043
Address ID
VA231885732WI207XXBLVD302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:2State licenses:0Digital endpointsOther names

4,429 PHYSICIAN ASSISTANT in VA

Provider Addresses for LAUREN ALEXIS MILLER

  • 825 FAIRFAX AVE

    NORFOLK, VA 235071914

    Phone: (757) 446-5600

    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: 2024-12-03

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
I20241203002043IPhysician AssistantVATBD

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 23507)

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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: 7113902925View full group profile
NameSpecialtyState
D E R M A T O L O G YVA
D E R M A T O L O G YFL
Physician AssistantVA
D E R M A T O L O G YVA
D E R M A T O L O G YVA
D E R M A T O L O G YVA
-VA
D E R M A T O L O G YVA
D E R M A T O L O G YMD
D E R M A T O L O G YVA

Reviews

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Frequently asked questions

What is the 10-digit NPI for LAUREN ALEXIS MILLER?
LAUREN ALEXIS MILLER — NPI 1215799762 — is the standard way to identify this listing.
Can I rely on LAUREN ALEXIS MILLER being an active provider?
As of the registry snapshot, LAUREN ALEXIS MILLER is marked active.
What taxonomy line describes LAUREN ALEXIS MILLER?
For research purposes, treat LAUREN ALEXIS MILLER as Student in an Organized Health Care Education/Training Program in this dataset. Clinical services aligned with this taxonomy classification.
What area does LAUREN ALEXIS MILLER serve?
LAUREN ALEXIS MILLER's listing highlights Norfolk, Virginia; more addresses can appear in NPPES.
Is the information about LAUREN ALEXIS MILLER up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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