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

Robert Mason Miller, PA-C

Individual provider Physician Assistant · NPI 1255161204

Robert Mason Miller, PA-C is a Physician Assistant in Milwaukee, Wisconsin. Qualified in 2024, 2 years ago. Licensed in Illinois and Wisconsin.

Years since qualifying
2
Licensed in
IL, WI
In the registry since
2024
Specialties on file
2
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

9200 W Wisconsin Ave
Milwaukee, WI 53226-3522
Phone: (414) 955-6450
Fax: (414) 955-0082
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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 8768-023 (WI)
Physician Assistant Taxonomy 363A00000X · Licence 085-010872 (IL)

Record details

NPI number1255161204
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 5, 2024
Last updated in NPPESFebruary 11, 2026
Certification dateFebruary 11, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Not indicated
Practice locations4 on file with Medicare

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