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

Individual provider Physician Assistant · NPI 1043659196

Chelsea Miller, PA-C is a Physician Assistant in Meridian, Idaho. Qualified in 2012, 14 years ago. Practices with Mountain Pine Dermatology PLLC, a 10-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
14
Licensed in
ID
In the registry since
2013
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

4664 N Penngrove Way Ste 100
Meridian, ID 83646-7442
Phone: (208) 452-5999
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA-1012 (ID)

Record details

NPI number1043659196
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 21, 2013
Last updated in NPPESJuly 7, 2020
Certification dateJuly 7, 2020

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Mountain Pine Dermatology Pllc — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Meridian