ATHALIE JOY MILLER – Family Nurse Practitioner, NPI 1275214777

ATHALIE JOY MILLER is a healthcare provider. based in Mountlake terrace, Washington. specializing in NURSE PRACTITIONER. They hold a License No. RN60170200 (WA). The NPI Number for ATHALIE JOY MILLER is 1275214777

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
ATHALIE JOY MILLER
NPI
1275214777
Phone
(206) 890-7954
Address
22807 59TH AVE W
Enumeration Date
27 July 2023
Last Update Date
1 November 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4256405500
Graduation Year
2024 (2 years ago)
PAC ID
4486181401
Group Practice PAC ID
0446152003
Professional Enrollment ID
I20250102001691
Address ID
WA980268744ED2332099XX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness75
Years active:2State licenses:2Digital endpointsOther names

6,268 NURSE PRACTITIONER in WA

Provider Addresses for ATHALIE JOY MILLER

  • 22807 59TH AVE W

    MOUNTLAKE TERRACE, WA 980433703

    Phone: (206) 890-7954

    Type: Mailing

  • 23320 HIGHWAY 99

    EDMONDS, WA 980268744

    Phone: (425) 640-5500

    Type: Location

  • 10521 Meridian Ave N

    Seattle, WA 981339509

    Phone: (206) 890-7954

    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: 2025-01-02

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
I20250102001691INurse PractitionerWATBD

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 98043)

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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: 0446152003View full group profile

Reviews

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Frequently asked questions

What is the 10-digit NPI for ATHALIE JOY MILLER?
ATHALIE JOY MILLER — NPI 1275214777 — is the standard way to identify this listing.
Does the file indicate ATHALIE JOY MILLER is practicing under active NPI?
Directory data currently reports ATHALIE JOY MILLER as active.
What is ATHALIE JOY MILLER's primary classification?
Family Nurse Practitioner is the headline specialty for ATHALIE JOY MILLER here. Clinical services aligned with this taxonomy classification.
Where should I expect ATHALIE JOY MILLER on a map?
Expect Mountlake Terrace, Washington as a primary anchor for ATHALIE JOY MILLER unless the record lists multiple sites.
How many locations tie to this NPI?
3 practice locations appear in the available data.

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