Individual provider Active NPI

Jess A Miller, MD

  • Neurology Physician
  • Bismarck, ND
National Provider Identifier
1033178231
Registry record updated May 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
MD2026-0464 Issued in NM
Practice address
222 N 7TH St
Bismarck, ND 58501
Phone
(701) 323-5422
Fax
(701) 323-8645
NPI assigned
Mar 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X MD61527657 WA
Neurology Physician 2084N0400X 13817 AZ
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X MD2026-0464 NM Primary

Addresses

Primary practice location

222 N 7TH St
Bismarck, ND 58501

Mailing address

PO Box 2010
Fargo, ND 58122-0001
Phone (701) 234-1113

Other practice location 1

3700 Washington Ave
Evansville, IN 47714-0541
Phone (812) 485-7040

Other practice location 2

1920 N High St
Denver, CO 80218-1213
Phone (480) 219-9046

Other practice location 3

1100 Goethals Dr Ste D
Richland, WA 99352-3301
Phone (509) 942-3080

Other practice location 4

1920 N High St
Denver, CO 80218-1213
Phone (480) 219-9046

Other identifiers 1

IdentifierTypeStateIssuer
228040MedicaidAZ

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jmiller12235944@direct.sanfordhealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, MA, OH, IN4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20120223000548 AZ Practitioner - Neurology 4981637634 Reassigns benefits to 1 organization
I20240528001309 MA Practitioner - Neurology 4981637634 Reassigns benefits to 1 organization
I20240912003919 OH Practitioner - Neurology 4981637634 Reassigns benefits to 2 organizations
I20260602000397 IN Practitioner - Neurology 4981637634 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cleveland Clinic Mercy HospitalGroup PAC ID 0547156796, 92 clinicians

Practice addresses (Care Compare)

1320 Mercy Dr NW
Mercy Regional Rehab
Canton, OH 44708-2641
Phone (330) 489-1068

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.98 of 100Reported as group
Quality
75.66
Promoting interoperability
100
Improvement activities
40
Cost
75.38

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
13817AZMDPharmacist
MD2026-0464NMMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Licking Memorial Professional Corporation CurrentSince Dec 2, 2024 Accepting new patients
Licking Memorial Professional Corporation Single Specialty CurrentSince Dec 2, 2024 Accepting new patients
Cleveland Clinic Mercy Hospital Single Specialty CurrentSince Jun 19, 2024 Accepting new patients
Tucson Physician Group Holdings, LLC Single Specialty CurrentSince Aug 29, 2022 Accepting new patients
Physicians of Cape Cod Hospital Single Specialty CurrentSince Jul 1, 2024 Accepting new patients
Arizona Acute Neurologic Clinic PC Single Specialty Current Accepting new patients
Cleveland Clinic Mercy Hospital CurrentSince Jun 19, 2024 Accepting new patients
Licking Memorial Health Professionals Single Specialty Current Accepting new patients

Locations

10900 N Scottsdale Rd
Ste 303
Scottsdale, AZ 85254
Phone (480) 860-2455

350 N Wilmot Rd
Tucson, AZ 85711
Phone (520) 873-3000

1601 W Saint Marys Rd
Tucson, AZ 85745
Phone (520) 622-5833

395 N Silverbell Rd
Ste 355
Tucson, AZ 85745
Phone (520) 622-5912

27 Park St
Hyannis, MA 02601
Phone (508) 775-5011

297 North St
Ste 221
Hyannis, MA 02601
Phone (508) 862-5032

1320 Timken Mercy Dr NW
Canton, OH 44708
Phone (330) 489-1000

1330 Mercy Dr NW
Ste 200
Canton, OH 44708
Phone (330) 489-1000

120 McMillen Dr
Newark, OH 43055
Phone (220) 564-4806

6801 Brecksville Rd
Ste 20
Seven Hills, OH 44131
Phone (216) 445-3363

Interoperability endpoints

  • Direct secure messaging: jmiller12235944@direct.sanfordhealth.org
  • FHIR API: https://fhir-myrecord.cerner.com/r4/MmWbh382tKlbvAIA1_DeLlIjYVSwroch/

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780012800000",
    "number": "1033178231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2010",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581220001",
            "telephone_number": "701-234-1113",
            "fax_number": "701-234-2045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 N 7TH ST",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "58501",
            "telephone_number": "701-323-5422",
            "fax_number": "701-323-8645"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3700 Washington Ave",
            "address_purpose": "LOCATION",
            "city": "Evansville",
            "state": "IN",
            "postal_code": "477140541",
            "country_code": "US",
            "telephone_number": "812-485-7040",
            "fax_number": "812-485-7042",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1920 N HIGH ST",
            "address_purpose": "LOCATION",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802181213",
            "country_code": "US",
            "telephone_number": "480-219-9046",
            "fax_number": "480-272-8236",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1100 Goethals Dr Ste D",
            "address_purpose": "LOCATION",
            "city": "Richland",
            "state": "WA",
            "postal_code": "993523301",
            "country_code": "US",
            "telephone_number": "509-942-3080",
            "fax_number": "509-942-3085",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1920 N HIGH ST",
            "address_purpose": "LOCATION",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802181213",
            "country_code": "US",
            "telephone_number": "480-219-9046",
            "fax_number": "480-272-8236",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "JESS",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-17",
        "last_updated": "2026-05-29",
        "certification_date": "2026-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "WA",
            "license": "MD61527657",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "AZ",
            "license": "13817",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NM",
            "license": "MD2026-0464",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "228040",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jmiller12235944@direct.sanfordhealth.org",
            "affiliation": "N",
            "address_1": "4535 Northern Sky Dr",
            "city": "Bismarck",
            "state": "ND",
            "country_code": "US",
            "postal_code": "585038538",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bismarck, ND

Sources for this page

Verify at the official NPI Registry.