Individual provider Active NPI

Jennifer Sue Miller, PA - C

  • Physician Assistant
  • Frostburg, MD
National Provider Identifier
1043370745
Registry record updated Apr 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C04108 Issued in MD
Practice address
10701 New Georges Creek Rd SW
Frostburg, MD 21532-1457
Phone
(301) 689-3229
Fax
(301) 689-1129
NPI assigned
Dec 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X MA002450L PA
Physician Assistant 363A00000X C04108 MD Primary

Addresses

Primary practice location

10701 New Georges Creek Rd SW
Frostburg, MD 21532-1457

Mailing address

14302 Barton Blvd SW
Cumberland, MD 21502-5852

Other practice location 1

23789 Garrett Hwy
Mc Henry, MD 21541-1338
Phone (240) 488-4139

Other practice location 2

1050 W Industrial Blvd
Cumberland, MD 21502-4331
Phone (240) 964-9300

Other practice location 3

312 Industrial Park Rd
Meyersdale, PA 15552-7290
Phone (814) 634-5954

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, MD2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20051017000912 PA Practitioner - Physician Assistant 8820014194 Reassigns benefits to 1 organization
I20100114000090 MD Practitioner - Physician Assistant 8820014194 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oncology Hematology Association IncGroup PAC ID 9830003300, 201 clinicians

Practice addresses (Care Compare)

314 S Kimberly Ave
Somerset, PA 15501-2223
Phone (814) 443-8266

Hospital & facility affiliations

  • Upmc Somerset Hospital, Somerset, PA, CCN 390039
  • Conemaugh Memorial Medical Center Hospital, Johnstown, PA, CCN 390110

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
C04108MDMDPhysician Assistant
MA002450LPAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Upmc Western Maryland Health Services, LLC CurrentSince Jan 1, 2023 Accepting new patients
Oncology Hematology Association CurrentSince Sep 10, 2025 Accepting new patients
Oncology Hematology Association Inc CurrentSince Sep 10, 2025 Accepting new patients
Upmc Western Maryland Corporation CurrentSince Apr 25, 2022 Accepting new patients
Upmc Western Maryland Corporation CurrentSince Apr 25, 2022 Accepting new patients
Upmc Western Maryland Corporation Past Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Conemaugh Health Initiatives Past Accepting new patients

Locations

625 Kent Ave
Ste 102
Cumberland, MD 21502
Phone (240) 964-4288

12500 Willowbrook Rd
Cumberland, MD 21502
Phone (240) 964-1255

625 Kent Ave
Cumberland, MD 21502
Phone (240) 964-8111

1050 W Industrial Blvd
Cumberland, MD 21502
Phone (240) 964-9300

10701 New Georges Creek Rd SW
Frostburg, MD 21532
Phone (301) 689-2941

23789 Garrett Hwy
Mc Henry, MD 21541
Phone (240) 488-4139

5115 Centre Ave
Fl 3
Pittsburgh, PA 15232
Phone (412) 235-1020

314 S Kimberly Ave
Somerset, PA 15501
Phone (814) 443-8266

Interoperability endpoints

  • Direct secure messaging: jennifer.s.miller@upmcdirect.com

Organizations & group practices 12

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 4

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": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650499200000",
    "number": "1043370745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14302 BARTON BLVD SW",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215025852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10701 NEW GEORGES CREEK RD SW",
            "city": "FROSTBURG",
            "state": "MD",
            "postal_code": "215321457",
            "telephone_number": "301-689-3229",
            "fax_number": "301-689-1129"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23789 Garrett Hwy",
            "address_purpose": "LOCATION",
            "city": "Mc Henry",
            "state": "MD",
            "postal_code": "215411338",
            "country_code": "US",
            "telephone_number": "240-488-4139",
            "fax_number": "240-488-4956",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1050 W Industrial Blvd",
            "address_purpose": "LOCATION",
            "city": "Cumberland",
            "state": "MD",
            "postal_code": "215024331",
            "country_code": "US",
            "telephone_number": "240-964-9300",
            "fax_number": "240-964-9310",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "312 Industrial Park Rd",
            "address_purpose": "LOCATION",
            "city": "Meyersdale",
            "state": "PA",
            "postal_code": "155527290",
            "country_code": "US",
            "telephone_number": "814-634-5954",
            "fax_number": "814-634-9187",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "JENNIFER",
        "middle_name": "SUE",
        "credential": "PA - C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-11",
        "last_updated": "2022-04-21",
        "certification_date": "2022-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA002450L",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C04108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frostburg, MD

Sources for this page

Verify at the official NPI Registry.