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

Carmen L Miller

Individual provider Registered Nurse · NPI 1104339001

Carmen L Miller is a Nurse Practitioner in Waupaca, Wisconsin. Qualified in 2017, 9 years ago. Practices with Thedacare, Incorporated, a 654-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
9
Licensed in
WI
In the registry since
2017
Specialties on file
2

Practice location Address checks out

710 Riverside Dr
Waupaca, WI 54981-1941
Phone: (715) 256-3000
Fax: (715) 256-3079
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 8238 (WI)
Registered Nurse Taxonomy 163W00000X · Licence 159127 (WI)

Record details

NPI number1104339001
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 14, 2017
Last updated in NPPESFebruary 19, 2018
Mailing address122 E College Ave, Appleton, WI 54911-5794

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Thedacare, Incorporated — 654 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Waupaca