Kristine Ericksen-Miller, NP
NPI 1174079115ActiveIndividual· Nurse Practitioner, Primary Care· Newport Beach, CA
Nurse Practitioner, Primary Care (NP) in Newport Beach, California, licensed in CA, with an NPI issued in August 2016. Enrolled in Medicare as practitioner - nurse practitioner.
Overview
| NPI | 1174079115 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | NP |
| Sole proprietor | Yes |
| NPI issued | Aug 30, 2016 |
| Last updated in NPPES | Oct 16, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Primary Care Primary | 363LP2300X | 95004881 | CA |
| Nurse Practitioner, Family | 363LF0000X | 95004881 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (CA) |
|---|
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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