Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1083311534 Individual Practitioner Female Practitioner

Marisa K Miller

Physician Assistant • Glendale, WI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Marisa Miller is a certified Physician Assistant practicing in Glendale, WI. With approximately 4 years of clinical experience since completing medical education in 2022, Marisa Miller delivers high-quality medical care to the local community at 3003 W GOOD HOPE RD.

Marisa Miller maintains professional affiliations with Aurora Advanced Healthcare, Inc., Aurora Medical Group, Inc. and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3003 W Good Hope Rd

Glendale, WI 532092042

Telephone 4143523100
Associated Practice Facility / Clinic
🏢 Advanced Healthcare Sc Facility NPI 1154371847

Medicare Profile & Education

Medical School

Other

Graduation Year

2022

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Glendale, WI

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
4 Yrs -3.0 yrs vs City Avg
City Avg: 7.0 Yrs
State Avg: 14.1 Yrs
Regional Practice Density
5 Specialists

Practicing in Glendale, WI (3517 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
81.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Miller (4 Years) 4 Yrs
Glendale Specialty Average (7.0 Years) 7.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
44 34 $725.00 $137.72
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
39 36 $515.00 $95.25
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more
11 11 $940.00 $163.62

Medical Specialties & State Licenses

CMS Verified: 2026-04-20
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License WI 7129-23

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
100234029 (WI)

Hospital & Practice Group Affiliations

Aurora Medical Group, Inc.

1020 N 12th St, Milwaukee, WI 532331308

Phone: 4142193056

Aurora Medical Group, Inc.

10400 75th St, Kenosha, WI 531427884

Phone: 2629487000

Aurora Advanced Healthcare, Inc.

3003 W Good Hope Rd, Milwaukee, WI 532092042

Phone: 4143523100

Secondary Practice Locations

10400 75th St

Kenosha, WI 531427884

Phone: 2629485600

10400 75th St Ste 315

Kenosha, WI 531427884

Phone: 2629487815

Practice Associates & Co-Workers

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

40 Associated Practitioners
Kayle Mcnamara , NP

Nurse Practitioner

NPI 1003774613

Nurse Practitioner

Dr. Stephen Klos , MD

Family Medicine

NPI 1003951617

Doctor of Medicine (M.D.)

Cheryl Sandrin , PA-C

Physician Assistant

NPI 1013024389

Physician Assistant (Certified)

Dr. Veitla Rao , MD

Internal Medicine - Endocrinology, Diabetes & Metabolism

NPI 1013148204

Doctor of Medicine (M.D.)

NPI 1013574540

Doctor of Osteopathic Medicine (D.O.)

Dr. Michelle Peters , MD

Emergency Medicine

NPI 1013934447

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

11 Historical Events
📍
Updated Practice Location April 20, 2026

Registered at 3003 W GOOD HOPE RD, GLENDALE, WI 532092042 (Tel: 4143523100)

📍
Updated Practice Location January 02, 2024

Registered at 10400 75TH ST STE 315, KENOSHA, WI 531427884 (Tel: 2629487815)

📍
Updated Business Mailing Address January 02, 2024

Registered at PO BOX 735044, CHICAGO, IL 606735044 (Tel: 8003262250)

👤
Provider Name / Credentials Updated January 02, 2024

Recorded as MARISA MILLER

📍
Updated Practice Location July 18, 2023

Registered at 10400 75TH ST, KENOSHA, WI 531427884 (Tel: 2629485600)

NPI Profile Active February 14, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location February 14, 2023

Registered at 10400 75TH ST STE 315, KENOSHA, WI 531427884 (Tel: 2629487815)

📍
Updated Business Mailing Address February 14, 2023

Registered at 4942 N WOODBURN ST, MILWAUKEE, WI 532176065 (Tel: 4142948639)

👤
Provider Name / Credentials Updated February 14, 2023

Recorded as MARISA BRUDNY

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 14, 2023

Physician Assistant (License #7129-23 in WI)

🟢
Initial NPI Registration & Enumeration February 14, 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: 1083311534
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 14, 2023
Last Update: April 20, 2026
Sole Proprietor: No

Mailing Address

Po Box 735044

Chicago, IL 606735044

Phone: 8003262250

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.