Kanisha R Miller, NP is a medicare enrolled "Nurse Practitioner - Family" in Saint Amant, Louisiana. She graduated from nursing school in 2020 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Lake Urgent Care Ascension Llc and her current practice location is
10714 Highway 431, Saint Amant, Louisiana. You can reach out to her office (for appointments etc.) via phone at
(225) 644-0005.
Kanisha R Miller is licensed to practice in Louisiana (license number 238005) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1699341834.
Provider's Profile
| Full Name | Kanisha R Miller |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 6 Years |
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| Location | 10714 Highway 431, Saint Amant, Louisiana |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Kanisha R Miller graduated from nursing school in 2020
NPI Data:
- NPI Number: 1699341834
- Provider Enumeration Date: 05/28/2021
- Last Update Date: 11/17/2025
Medicare PECOS Information:
- PECOS PAC ID: 8224430152
- Enrollment ID: I20241119004734
Medical Identifiers
Medical identifiers for Kanisha R Miller such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1699341834 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363L00000X | Nurse Practitioner | 10748-33 (Wisconsin) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 10748-33 (Wisconsin) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 238005 (Louisiana) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Lake Urgent Care Ascension Llc | 0244479095 | 23 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kanisha R Miller allows following entities to bill medicare on her behalf.
| Entity Name | Convenient Care Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1164422630 PECOS PAC ID: 1153306816 Enrollment ID: O20040618000886 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kanisha R Miller is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Kanisha R Miller, NP 5959 S Sherwood Forest Blvd, Baton Rouge, LA 70816-6038 Ph: (225) 644-0005 | Kanisha R Miller, NP 10714 Highway 431, Saint Amant, LA 70774-3904 Ph: (225) 644-0005 |
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