| Shelley Renea Miller, RN MSN FNP-C | |
|
495 East Main Street, Lebanon, VA 24266 | |
| (276) 889-3700 | |
| (276) 889-5505 |
| Full Name | Shelley Renea Miller |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 26 Years |
| Location | 495 East Main Street, Lebanon, Virginia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790793594 | NPI | - | NPPES |
| 010204534 | Medicaid | VA | |
| 010204518 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 0024000081 (Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Amedisys Home Health Care | Abingdon, VA | Home health agency |
| Home Nursing Company Inc | Lebanon, VA | Home health agency |
| Russell County Hospital | Lebanon, VA | Hospital |
| Johnston Memorial Hospital | Abingdon, VA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Holston Medical Group Pc | 8224935754 | 236 |
| Entity Name | Holston Medical Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831110667 PECOS PAC ID: 8224935754 Enrollment ID: O20040107000794 |
| Entity Name | Cumberland Mountain Community Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235125055 PECOS PAC ID: 2466355300 Enrollment ID: O20040129000239 |
| Entity Name | Blue Ridge Medical Management Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326159567 PECOS PAC ID: 9739099441 Enrollment ID: O20040715001336 |
| Entity Name | Clinch Professional Physician Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609994284 PECOS PAC ID: 9436259223 Enrollment ID: O20070709000505 |
| Mailing Address | Practice Location Address |
|---|---|
| Shelley Renea Miller, RN MSN FNP-C Po Box 2377, Lebanon, VA 24266-2607 Ph: (276) 889-3700 | Shelley Renea Miller, RN MSN FNP-C 495 East Main Street, Lebanon, VA 24266 Ph: (276) 889-3700 |
Kimberly Michelle Miller, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 481 Majestic Valley Rd, Lebanon, VA 24266 Phone: 276-596-0608 | |
Mrs. Kathy Jo Justus, CFNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 495 East Main Street, Lebanon, VA 24266 Phone: 276-889-3700 Fax: 276-889-5505 | |
Amanda Elizabeth Horner, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 58 Carroll Street, Lebanon, VA 24266 Phone: 276-883-8000 | |
Mrs. Jacquelin London Greene, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 58 Carroll St, Lebanon, VA 24266 Phone: 276-883-8086 Fax: 276-883-8090 | |
Kelly E Harness, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 344 Overlook Dr Ste 200, Lebanon, VA 24266 Phone: 276-883-5900 | |
Nancy Sue Blevins, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 75 Rogers Street, Lebanon, VA 24266 Phone: 276-889-7621 Fax: 276-889-7621 | |
Kelly Mcdaniel, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 288 Rolling Meadows Rd, Lebanon, VA 24266 Phone: 276-608-4114 |