Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Alyssa Miller, PA-C

Individual provider Physician Assistant · NPI 1093186884

Mrs. Alyssa Miller, PA-C is a Physician Assistant in Coeur D Alene, Idaho. Qualified in 2015, 11 years ago. Practices with Kootenai Health Inc, a 394-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
11
Licensed in
ID
In the registry since
2015
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

914 W Ironwood Dr Ste 101
Coeur D Alene, ID 83814-4927
Phone: (208) 625-3500
Fax: (208) 625-3501
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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 PA1833 (ID)

Record details

NPI number1093186884
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 19, 2015
Last updated in NPPESApril 15, 2024
Certification dateApril 15, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Kootenai Health Inc — 394 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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