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

Marisa K Miller

Individual provider Physician Assistant · NPI 1083311534

Marisa K Miller is a Physician Assistant in Glendale, Wisconsin. Qualified in 2022, 4 years ago. Practices with Aurora Advanced Healthcare, Inc, a 1,101-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
4
Licensed in
WI
In the registry since
2023

Practice location Address checks out

3003 W Good Hope Rd
Glendale, WI 53209-2042
Phone: (414) 352-3100
Show map & directions

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

Additional practice locations (2)

  • 10400 75th St, Kenosha, WI 53142-7884 — (262) 948-5600
  • 10400 75th St Ste 315, Kenosha, WI 53142-7884 — (262) 948-7815

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 7129-23 (WI)

Record details

NPI number1083311534
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 14, 2023
Last updated in NPPESApril 20, 2026
Certification dateApril 20, 2026
Mailing addressPo Box 735044, Chicago, IL 60673-5044

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Aurora Advanced Healthcare, Inc. — 1101 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Glendale