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Deactivated NPI 1508100744 Deactivated / Inactive NPI Female Practitioner

Michelle Marie Miller , LPN

Licensed Practical Nurse • Cumberland, WI

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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, Michelle Miller has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 10, 2012
NPI Deactivation Date October 24, 2013
Total Practice Duration ~1 Years of Practice (2012 – 2013)

Professional Overview & Biography Verified Profile Summary

Michelle Miller, LPN was a registered Licensed Practical Nurse practicing in Cumberland, WI. Throughout an active medical career spanning 1 years, Michelle Miller provided care at the practice location at 2503 12TH ST. until profile deactivation on 2013-10-24.

Practice Location & Contact Primary Location

Practice Address

2503 12th St.

Cumberland, WI 54829

Telephone 7158223567

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Cumberland, WI

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

Practicing in Cumberland, WI (1775 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 WI 318716

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

9 Historical Events
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NPI Profile Deactivated January 02, 2025

Record deactivated on January 02, 2025

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Medical Taxonomy / Specialty Registered (Primary Specialty) November 17, 2024

Licensed Practical Nurse (License #P44034 in IA)

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Updated Practice Location March 16, 2016

Registered at 2503 12TH ST., CUMBERLAND, WI 54829 (Tel: 7158223567)

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Updated Business Mailing Address March 16, 2016

Registered at 2503 12TH ST., CUMBERLAND, WI 54829 (Tel: 5154325433)

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Provider Name / Credentials Updated March 16, 2016

Recorded as MICHELLE MILLER, LPN

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 16, 2016

Licensed Practical Nurse (License #318716 in WI)

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NPI Profile Reactivated March 14, 2016

Record officially reactivated for active practice on March 14, 2016

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NPI Profile Deactivated October 24, 2013

Record deactivated on October 24, 2013

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Initial NPI Registration & Enumeration November 10, 2012

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: 1508100744
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 10, 2012
Last Update: March 16, 2016
Deactivation Date: October 24, 2013

Mailing Address

2503 12th St.

Cumberland, WI 54829

Phone: 5154325433

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.