Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1649043753 Individual Practitioner Female Practitioner

Broda L Miller , LPN

Licensed Practical Nurse • Quincy, IL

Professional Overview & Biography Verified Profile Summary

Broda Miller, LPN is a registered healthcare professional specializing in Licensed Practical Nurse in Quincy, IL. Practice services are available at 639 YORK ST RM 212 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

639 York St Rm 212

Quincy, IL 623013919

Telephone 2172226277
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Quincy, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
18 Specialists

Practicing in Quincy, IL (906 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-06-07
Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License IL 043089365

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

31 Associated Practitioners
Alicia Scanga , CRSS

Counselor - Addiction (Substance Use Disorder)

NPI 1043151624
NPI 1053251272

BSMHP

Melissa Wensing

Licensed Practical Nurse

NPI 1194472738
NPI 1194666412

Bachelor of Arts, Mental Health Practitioner

Ashley Jackson , BS CADC

Counselor - Addiction (Substance Use Disorder)

NPI 1245172154

BSCADC

NPI 1255270559

Bachelor of Arts, Mental Health Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active October 31, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location October 31, 2023

Registered at 639 YORK ST RM 212, QUINCY, IL 623013919 (Tel: 2172226277)

📍
Updated Business Mailing Address October 31, 2023

Registered at 1601 OLD SOUTH RIVER RD, SAINT CHARLES, MO 633034120 (Tel: 6362241210)

👤
Provider Name / Credentials Updated October 31, 2023

Recorded as BRODA MILLER, LPN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 31, 2023

Licensed Practical Nurse (License #043089365 in IL)

🟢
Initial NPI Registration & Enumeration October 31, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1649043753
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 31, 2023
Last Update: June 07, 2024
Sole Proprietor: No

Mailing Address

1601 Old South River Rd

Saint Charles, MO 633034120

Phone: 6362241210

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.