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

Nicolas Miller

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1457024754

Nicolas Miller is a Physician Assistant in Manhattan, Illinois. Graduated from Midwestern University, Chicago College of Osteopathic Med in 2021, 5 years ago. Practices with Prime Healthcare Illinois Medical Group LLC, a 281-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
5
Trained at
Midwestern University, Chicago College of Osteopathic Med
Licensed in
IL
In the registry since
2021
Specialties on file
2

Practice location Address checks out

15255 Kenmare Cir
Manhattan, IL 60442-1441
Phone: (815) 342-8682
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1457024754
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedAugust 1, 2021
Last updated in NPPESFebruary 29, 2024
Certification dateFebruary 29, 2024
Mailing address15255 Kenmare Cir, Manhattan, IL 60442-1441

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolMIDWESTERN UNIVERSITY, CHICAGO COLLEGE OF OSTEOPATHIC MED
Graduated 2021 (5 years in practice)
Group practice Prime Healthcare Illinois Medical Group Llc — 281 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Manhattan