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

Abigail Rose Miller

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1861103137

Abigail Rose Miller is a Nurse Practitioner in Belleville, Illinois. Qualified in 2020, 6 years ago. Practices with Mercy ACO Clinical Services Inc, a 138-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Missouri.

Years since qualifying
6
Licensed in
MO
In the registry since
2022
Specialties on file
2

Practice location Address checks out

111 N 81st St
Belleville, IL 62223-2445
Phone: (804) 543-5105
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 2023033314 (MO)
Psychiatric/Mental Health Registered Nurse Taxonomy 163WP0808X · Licence 2020030713 (MO)

Record details

NPI number1861103137
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 7, 2022
Last updated in NPPESAugust 18, 2023
Certification dateAugust 18, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Mercy Aco Clinical Services Inc — 138 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Belleville