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Deactivated NPI 1154615672 Deactivated / Inactive NPI Male Practitioner

Michael Patrick Miller , LPN

Licensed Practical Nurse • Mount Upton, NY

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Michael Miller has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 01, 2011
NPI Deactivation Date January 25, 2023
Total Practice Duration ~12 Years of Practice (2011 – 2023)

Professional Overview & Biography Verified Profile Summary

Michael Miller, LPN was a registered Licensed Practical Nurse practicing in Mount Upton, NY. Throughout an active medical career spanning 12 years, Michael Miller provided care at the practice location at 1720 STATE HIGHWAY 8 until profile deactivation on 2023-01-25.

Practice Location & Contact Primary Location

Practice Address

1720 State Highway 8

Mount Upton, NY 138094103

Telephone 6077648713

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Mount Upton, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 8.0 Yrs
Regional Practice Density
1 Specialists

Practicing in Mount Upton, NY (23738 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

Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License NY 10-264740

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.

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated January 25, 2023

Record deactivated on January 25, 2023

NPI Profile Active June 01, 2011

NPI status registered as active in NPPES database

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Updated Practice Location June 01, 2011

Registered at 1720 STATE HIGHWAY 8, MOUNT UPTON, NY 138094103 (Tel: 6077648713)

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Updated Business Mailing Address June 01, 2011

Registered at 1720 STATE HIGHWAY 8, MOUNT UPTON, NY 138094103 (Tel: 6077648713)

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Provider Name / Credentials Updated June 01, 2011

Recorded as MICHAEL MILLER, LPN

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 01, 2011

Licensed Practical Nurse (License #10-264740 in NY)

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Initial NPI Registration & Enumeration June 01, 2011

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: 1154615672
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 01, 2011
Last Update: June 01, 2011
Deactivation Date: January 25, 2023

Mailing Address

1720 State Highway 8

Mount Upton, NY 138094103

Phone: 6077648713

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.