Doctor profile · Federal record
Dr. Marisa Miller
Physician Assistant · Kenosha, WI
- NPI 1083311534
- Accepts Medicare
- 4 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
10400 75Th St Ste 315
Kenosha, WI 531427884
(262) 948-7815 - Additional location
-
10400 75Th St
Kenosha, WI 531427884
(262) 948-5600 - Mailing address
-
Po Box 735044
Chicago, IL 606735044
Credentials & registration
- NPI registered
- February 2023 — 3 yrs on file
- Profile last updated
- January 2, 2024
- Year of graduation
- 2022 — 4 yrs since
- Specialty taxonomy
- 363A00000X — NUCC code
- State license (1)
- Wisconsin #7129-23
- Medicaid
- WI #100234029
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1083311534. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$126
Transactions
3
Manufacturers
3
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Lundbeck LLC | 1 | $93.75 | |
| Teva Pharmaceuticals USA, Inc. | 1 | $17.60 | |
| ABBVIE INC. | 1 | $14.80 |
By nature of payment
Frequently asked questions
What is Dr. Marisa Miller's medical specialty?
Dr. Marisa Miller practices Physician Assistant in Kenosha, WI.
Where does Dr. Marisa Miller practice?
Dr. Marisa Miller practices at 10400 75Th St Ste 315, Kenosha, WI 531427884. Office phone: 2629487815.
What is Dr. Marisa Miller's NPI?
Dr. Marisa Miller's National Provider Identifier (NPI) is 1083311534, issued by NPPES.
Does Dr. Marisa Miller accept Medicare assignment?
Yes. Dr. Marisa Miller accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.