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

Individual provider Physician Assistant · NPI 1184081762

Ryan Charles Miller, PA is a Physician Assistant in Grand Rapids, Michigan. Qualified in 2015, 11 years ago. Practices with Visionary Medical Services, PC, a 63-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
11
Licensed in
MI
In the registry since
2016
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

100 Michigan St NE # MC215
Grand Rapids, MI 49503-2560
Phone: (616) 486-9155
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1701 Olmstead Rd, Kalamazoo, MI 49048-3343 — (616) 222-6861

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601007674 (MI)

Record details

NPI number1184081762
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJanuary 27, 2016
Last updated in NPPESApril 21, 2025
Certification dateApril 21, 2025

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 Visionary Medical Services, Pc — 63 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations13 on file with Medicare

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