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

Renee Miller

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1770315525

Renee Miller is a Nurse Practitioner in Riverside, California. Qualified in 2024, 2 years ago. Practices with Ehab Yacoub MD Inc, a 175-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
2
Licensed in
CA
In the registry since
2024

Practice location Address checks out

6535 Rycroft Dr
Riverside, CA 92506-5314
Phone: (626) 222-1278
Show map & directions

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

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 95031766 (CA)

Record details

NPI number1770315525
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 19, 2024
Last updated in NPPESAugust 19, 2024
Certification dateJuly 24, 2024
Mailing address6535 Rycroft Dr, Riverside, CA 92506-5314

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Ehab Yacoub Md Inc — 175 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Riverside