Hannah E Miller · Hannah E Podvin · Physician Assistant

2617 Development Dr, Green Bay, WI 54311-4240

Overview

Hannah E Miller is a Physician Assistant practicing in Green Bay, Wisconsin. The National Provider Identifier (NPI) is #1710465604, which was assigned on August 1, 2018, and the registration record was last updated on May 14, 2025. The practitioner's main practice location is at 2617 Development Dr, Green Bay, WI 54311-4240; the contact telephone number is 9203368197, and the fax number is 9203368801. The primary taxonomy of Hannah E Miller is Physician Assistant (363A00000X). Hannah E Miller is licensed to practice in the state of Wisconsin (#4478-23).

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Provider Information

NPI 1710465604
Entity Type Individual
Provider Name HANNAH E MILLER
Other Name HANNAH E PODVIN
(Former Name)
Gender Female
Credential PA-C
Practice Address 2617 Development Dr
Green Bay
WI 54311-4240
Practice Telephone 9203368197
Practice Fax Number 9203368801
Mailing Address 801 York St
Manitowoc
WI 54220-4630
Mailing Telephone 9206639008
Mailing Fax Number 9206841439
Certification Date 2025-05-14
Enumeration Date 2018-08-01
Last Update Date 2025-05-14
Is Sole Proprietor N

Doctor and Clinician Information

PAC ID 1658623723
Medicare Provider Enrollment and Chain/Ownership System (PECOS) Associate Control (PAC) ID
Full Name HANNAH E MILLER
Primary Specialty PHYSICIAN ASSISTANT
Organization Legal Name FOREFRONT DERMATOLOGY SC
Address 1400 Scheuring Rd
De Pere
WI 54115-1067

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
Y363A00000XPhysician Assistant4478-23WI

Secondary Practice Locations

AddressTelephoneFax
100 County Road B, Shawano, WI 54166707271552459957155267715
121 E Silver Spring Dr Ste 202, Whitefish Bay, WI 53217476241496490304149649620
2600 N Mayfair Rd Ste 810, Milwaukee, WI 5322613284147711122 ext. 4147711352
2617 Development Dr, Green Bay, WI 54311424092033681979203368801
3515 Murray St, Marinette, WI 54143336771573206997157323522
700 Hillcrest Ct, Beaver Dam, WI 53916241892088526229208854419
7040 N Port Washington Rd Ste 404, Glendale, WI 53217388541435524054143556460
715 Superior Rd Ste 120, Green Bay, WI 54311759592040698039204069934
N4531 State Highway 22 Ste 5, Shawano, WI 54166617371552459957159534257

Taxonomy Information

Primary Taxonomy

Code 363A00000X
Taxonomy Physician Assistant
Classification Physician Assistant
Grouping Physician Assistants & Advanced Practice Nursing Providers
Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

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Location Information

Street Address 2617 DEVELOPMENT DR
City GREEN BAY
State WI
Zip Code 54311-4240
Country US

Providers in the same location

Provider NameAddressTaxonomyEnumeration Date
Semyon Zarkhin 2617 Development Dr, Green Bay, WI 54311-4240Dermatology Physician2007-07-23
Taylor Lauren Shefchik · Taylor Smiley 2617 Development Dr, Green Bay, WI 54311-4240Physician Assistant2024-10-02

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Grace Woods 2605 Development Dr, Green Bay, WI 54311-4240Physician Assistant2025-09-03

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Carrie Kraemer 3150 Gershwin Dr, Green Bay, WI 54311-4328Clinical Social Worker2023-10-04
Jade County Community Tre Pirlott 3150 Gershwin Dr, Green Bay, WI 54311-4328Professional Counselor2025-12-20
Sbh-Green Bay LLC 1351 Ontario Rd, Green Bay, WI 54311Mental Health Clinic/Center (Including Community Mental Health Center)2016-09-21
Ashley N Zellner 3150 Gershwin Dr, Green Bay, WI 54311-4328Mental Health Counselor2026-03-02
Jennifer M Wachowiak 1496 Bellevue St Ste 502, Green Bay, WI 54311-4251Psychiatric/Mental Health Nurse Practitioner2025-08-25
Logan Wilz 3150 Gershwin Dr, Green Bay, WI 54311-4328Clinical Psychologist2023-09-25
Paige Levi 3150 Gershwin Dr, Green Bay, WI 54311-4328Clinical Social Worker2024-01-17
Jacinda J Hecker 3150 Gershwin Dr, Green Bay, WI 54311-4328Social Worker2024-07-09
Brittany Shoemaker 2633 Development Dr Ste 40, Green Bay, WI 54311-4239Dental Hygienist2025-09-29
Helga Aquino Meyer · Helga Aquino Perpetuo 3150 Gershwin Dr, Green Bay, WI 54311-4328Clinical Social Worker2023-08-16
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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.