MRS. MARY KATHLEEN MILLER (DNP, CNM, APRN) – Advanced Practice Midwife, NPI 1114059169
Advanced Practice Midwife
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MRS. MARY KATHLEEN MILLER (DNP, CNM, APRN)
1405 DR MARTIN LUTHER KING JR ST N
SAINT PETERSBURG, FL 33704
Phone: (727) 895-2300
Type: Location
5341 Grand Blvd Ste 105
New Port Richey, FL 346524004
Phone: (800) 470-6846
Fax: (727) 478-0618
Type: Location
3511 5TH AVE N
SAINT PETERSBURG, FL 337137501
Phone: (727) 895-2300
Type: Location
13300 GULF BLVD APT C
MADEIRA BEACH, FL 337082502
Phone: (407) 716-9229
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $113.
Total Amount is formed as General ($113) + Research ($0) + Ownership ($0) = $113.
Last reported payment date: 2023-09-14 • Largest payer in this snapshot: Medicem Inc. ($96).
Total Amount
$113
General + Research + Ownership
Payments
2
Total payment records
General Amount
$113
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-09-14
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medicem Inc. | $96 |
| Organon LLC | $18 |
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: 2015-04-29
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 |
|---|---|---|---|---|
| I20150429000196 | I | Certified Nurse Midwife (Cnm) | FL | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 33704)
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