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

Will Daniel Miller, PA

Individual provider Physician Assistant · NPI 1760883441

Will Daniel Miller, PA is a Physician Assistant in Decatur, Illinois. Qualified in 2014, 12 years ago. Practices with Vitalskin Medical Group Il PLLC, a 56-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
12
Licensed in
IL
In the registry since
2014
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

355 E Ash Ave
Decatur, IL 62526-6136
Phone: (217) 450-9826
Fax: (217) 717-2346
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1111 W Kenyon Rd Ste B, Urbana, IL 61801-1010 — (217) 819-3376

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 085005212 (IL)

Record details

NPI number1760883441
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedSeptember 11, 2014
Last updated in NPPESSeptember 26, 2022
Certification dateSeptember 26, 2022
Mailing address355 E Ash Ave, Decatur, IL 62526-6136

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Vitalskin Medical Group Il Pllc — 56 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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