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

Emily Miranda Miller

Individual provider Physician Assistant · NPI 1619650181

Emily Miranda Miller is a Physician Assistant in Idaho Falls, Idaho. Qualified in 2024, 2 years ago. Practices with Leavitt Womens Healthcare Corp PC, a 7-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
2
Licensed in
UT
In the registry since
2023
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Practice location Address checks out

1550 Elk Creek Dr
Idaho Falls, ID 83404-8322
Phone: (208) 524-6308
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X (UT)

Record details

NPI number1619650181
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 10, 2023
Last updated in NPPESMay 5, 2025
Certification dateMay 5, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Leavitt Womens Healthcare Corp.Pc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Idaho Falls