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

Kristyn E Miller, PA-C

Individual provider Physician Assistant · NPI 1518374222

Kristyn E Miller, PA-C is a Physician Assistant in Indianapolis, Indiana. Qualified in 2014, 12 years ago. Practices with Community Physicians of Indiana Inc, a 1,577-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
12
Licensed in
IN
In the registry since
2014
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

7930 N Shadeland Ave
Indianapolis, IN 46250-2041
Phone: (317) 621-6725
Fax: (317) 621-4545
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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 10001677A (IN)

Record details

NPI number1518374222
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 14, 2014
Last updated in NPPESNovember 27, 2023
Certification dateOctober 14, 2020

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Community Physicians Of Indiana Inc — 1577 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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