Active NPI
Jennifer Sue Miller, PA - C
- Physician Assistant
- Frostburg, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- C04108
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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
Practice addresses (Care Compare)
314 S Kimberly Ave
Somerset, PA 15501-2223
Phone (814) 443-8266
Hospital & facility affiliations
- Upmc Somerset
- Conemaugh Memorial Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C04108 | MD | MD | Physician Assistant |
| MA002450L | PA | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Upmc Western Maryland Health Services, LLC | Current | Accepting new patients | |
| Oncology Hematology Association | Current | Accepting new patients | |
| Oncology Hematology Association Inc | Current | Accepting new patients | |
| Upmc Western Maryland Corporation | Current | Accepting new patients | |
| Upmc Western Maryland Corporation | Current | 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
- 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.
-
- Hematology & Oncology Physician
- Pittsburgh, PA
- NPI 1861469223
-
- Urgent Care Clinic/Center
- Cumberland, MD
- NPI 1245465376
-
- Emergency Medicine Physician
- Rockville, MD
- NPI 1164483558
-
- Internal Medicine Physician
- Cumberland, MD
- NPI 1184769952
-
- Internal Medicine Physician
- Cumberland, MD
- NPI 1447976584
-
- Mental Illness Community Based Residential Treatment Facility
- Cumberland, MD
- NPI 1174141592
-
- Clinic/Center
- Cumberland, MD
- NPI 1780251850
-
- Internal Medicine Physician
- Cumberland, MD
- NPI 1134844764
-
- Clinical Medical Laboratory
- Johnstown, PA
- NPI 1932256104
-
- Psychiatry Physician
- Cumberland, MD
- NPI 1285779884
-
- Family Medicine Physician
- New Paris, PA
- NPI 1487724597
-
- General Acute Care Hospital
- Windber, PA
- NPI 1275620536
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Johnstown, PA
- NPI 1801897038
-
- Psychiatric Hospital Unit
- Somerset, PA
- NPI 1558381988
-
- General Acute Care Hospital
- Somerset, PA
- NPI 1912900168
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.