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

Courtney Stanford Miller, NP

Individual provider Nurse Practitioner · NPI 1629435060

Courtney Stanford Miller, NP is a Nurse Practitioner in Olympia Fields, Illinois. Qualified in 2015, 11 years ago. Practices with Beaumont Medical Group- Specialty Services, a 858-clinician group and accepts Medicare assignment. Licensed in Illinois and Michigan.

Years since qualifying
11
Licensed in
IL, MI
In the registry since
2016
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

20060 Governors Dr Ste 102
Olympia Fields, IL 60461-1029
Phone: (815) 824-4406
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 4704276415 (MI)
Nurse Practitioner Taxonomy 363L00000X · Licence 209013548 (IL)

Record details

NPI number1629435060
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedJanuary 15, 2016
Last updated in NPPESFebruary 6, 2019

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Beaumont Medical Group- Specialty Services — 858 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Olympia Fields