MR. ETTHAN CHARLES MILLER – Family Nurse Practitioner, NPI 1336546209
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,303 NURSE PRACTITIONER in VA
Provider Addresses for MR. ETTHAN CHARLES MILLER
1785 W LEE HWY
P.O. BOX 662
WYTHEVILLE, VA 243821437
Phone: (276) 228-6499
Fax: (276) 228-6165
Type: Mailing
360 VIRGINIA AVE STE A
WYTHEVILLE, VA 243821185
Phone: (276) 335-2038
Fax: (276) 625-8865
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 194 Open Payments records for all available years, with a total value of $4,297.
Total Amount is formed as General ($4,297) + Research ($0) + Ownership ($0) = $4,297.
Last reported payment date: 2024-12-23 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($643).
Total Amount
$4,297
General + Research + Ownership
Payments
194
Total payment records
General Amount
$4,297
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $643 |
| ABBVIE INC. | $437 |
| Phathom Pharmaceuticals, Inc. | $247 |
| Vanda Pharmaceuticals Inc. | $217 |
| Axsome Therapeutics, Inc. | $208 |
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: 2015-06-08
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20150608001954 | I | Nurse Practitioner | VA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 328 | 33 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 279 | 157 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 178 | 66 | $0 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | 175 | 38 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 165 | 111 | $0 |
Insurance plans in this area (ZIP 24382)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| U R O L O G Y | MD | |
| U R O L O G Y | VA | |
| Nurse Practitioner | VA | |
| Nurse Practitioner | VA | |
| Nurse Practitioner | VA | |
| Nurse Practitioner | LA | |
| Nurse Practitioner | VA | |
| Nurse Practitioner | VA | |
| - | NC | |
| Physician Assistant | VA |
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