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Beth Elisha Miller, PA-C

Physician Assistant, Medical in Sandpoint, ID. Individual provider (NPI-1).

NPI number1457778151
StatusActive
Last updated in NPPESApr 7, 2020

Details

NPI
1457778151
Entity type
Individual (NPI-1)
Name
Beth Elisha Miller
Credential
PA-C
Sex
Female
Sole proprietor
No
Enumeration date
Mar 20, 2014
Certification date
Apr 7, 2020
Last updated
Apr 7, 2020

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PRACTITIONER - PHYSICIAN ASSISTANT
Can order and refer
Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363AM0700X Physician Assistant, MedicalPA60799608WAYes
363A00000X Physician Assistant51505CA
363AM0700X Physician Assistant, Medical––

Practice location

420 N 2nd Ave
Sandpoint, ID 83864-1565

Phone 208-263-0450 · Fax 208-265-0556

Mailing address

420 N 2nd Ave
Sandpoint, ID 83864-1565

Phone 208-263-0450 · Fax 208-263-0450

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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