Individual provider Active NPI

Jennifer L Miller, FNP-C

  • Family Nurse Practitioner
  • Ottawa, KS
National Provider Identifier
1114976271
Registry record updated Aug 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
13-069081-101 Issued in KS
Practice address
107 S Main St
Ottawa, KS 66067-2327
Phone
(913) 468-2266
NPI assigned
May 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 003174 CO
Family Nurse Practitioner 363LF0000X 13-069081-101 KS Primary

Addresses

Primary practice location

107 S Main St
Ottawa, KS 66067-2327

Mailing address

107 S Main St
Ottawa, KS 66067-2327
Phone (913) 401-2750

Other identifiers 1

IdentifierTypeStateIssuer
51372258MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
003174COMDFamily Nurse Practitioner
13-069081-101KSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Health Partnership Clinic, Inc. Past Accepting new patients
Health Partnership Clinic, Inc. PastSince May 16, 2021 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jennifer.miller@khindirect.org

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566259200000",
    "number": "1114976271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 S MAIN ST",
            "city": "OTTAWA",
            "state": "KS",
            "postal_code": "660672327",
            "telephone_number": "913-401-2750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 S MAIN ST",
            "city": "OTTAWA",
            "state": "KS",
            "postal_code": "660672327",
            "telephone_number": "913-468-2266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-08",
        "last_updated": "2019-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "003174",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "13-069081-101",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "51372258",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ottawa, KS

Sources for this page

Verify at the official NPI Registry.