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

Nicole E Miller, PA

Individual provider Physician Assistant · NPI 1114343746

Nicole E Miller, PA is a Physician Assistant in Durham, North Carolina. Qualified in 2013, 13 years ago. Practices with Animo Sano Psychiatry PLLC, a 47-clinician group and accepts Medicare assignment. Licensed in North Carolina and New York.

Years since qualifying
13
Licensed in
NC, NY
In the registry since
2014
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

5501 Fortunes Ridge Dr Ste P
Durham, NC 27713-6102
Phone: (919) 391-7202
Fax: (919) 391-7203
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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 017411 (NY)
Physician Assistant Taxonomy 363A00000X · Licence 001012404 (NC)

Record details

NPI number1114343746
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedMarch 6, 2014
Last updated in NPPESOctober 15, 2025
Certification dateOctober 15, 2025
Mailing address5501 Fortunes Ridge Dr Ste P, Durham, NC 27713-6102

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Animo Sano Psychiatry Pllc — 47 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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