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

Cheyenne Miller

Individual provider Physician Assistant · NPI 1417750118

Cheyenne Miller is a Physician Assistant in Glenside, Pennsylvania. Qualified in 2025, 1 year ago. Practices with St Lukes Physician Group Inc, a 2,127-clinician group and accepts Medicare assignment.

Years since qualifying
1
In the registry since
2025

Practice location Address checks out

450 S Easton Rd
Glenside, PA 19038-3295
Phone: (215) 572-2900
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1417750118
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 28, 2025
Last updated in NPPESJune 3, 2025
Certification dateJune 3, 2025
Mailing address450 S Easton Rd, Glenside, PA 19038-3295

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice St Lukes Physician Group Inc — 2127 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Glenside