Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Abigail Rose Miller

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1861103137

Abigail Rose Miller is a Nurse Practitioner in Belleville, Illinois. Qualified in 2020, 6 years ago. Practices with Mercy ACO Clinical Services Inc, a 138-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Missouri.

Years since qualifying
6
Licensed in
MO
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

111 N 81st St
Belleville, IL 62223-2445
Phone: (804) 543-5105
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 2023033314 (MO)
Psychiatric/Mental Health Registered Nurse Taxonomy 163WP0808X · Licence 2020030713 (MO)

Record details

NPI number1861103137
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 7, 2022
Last updated in NPPESAugust 18, 2023
Certification dateAugust 18, 2023
Mailing address111 N 81st St, Belleville, IL 62223-2445

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Mercy Aco Clinical Services Inc — 138 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Belleville