Individual provider Active NPI

Jennifer Lynne Miller

  • Physician Assistant
  • Moline, IL
National Provider Identifier
1134437304
Registry record updated Mar 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
085.004094 Issued in IL
Practice address
520 Valley View Dr
Moline, IL 61265-6194
Phone
(309) 762-3621
Fax
(309) 762-3690
NPI assigned
Sep 21, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 002207 IA
Medical Physician Assistant 363AM0700X 4667 AZ
Physician Assistant 363A00000X 085.004094 IL Primary

Addresses

Primary practice location

520 Valley View Dr
Moline, IL 61265-6194

Mailing address

520 Valley View Dr
Moline, IL 61265-6194
Phone (309) 762-3621

Other names 1

  • Jennifer Lynne Scardino Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, IL2 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
I20110912000760 IA Practitioner - Physician Assistant 2062609910 Reassigns benefits to 1 organization
I20110921000864 IL Practitioner - Physician Assistant 2062609910 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ora Orthopedics PCGroup PAC ID 6406741784, 119 clinicians

Practice addresses (Care Compare)

520 Valley View Dr
Moline, IL 61265-6194
Phone (309) 762-3621

5250 Competition Dr
Suite 100
Bettendorf, IA 52722-8837
Phone (563) 322-0971

6101 Northwest Blvd
Davenport, IA 52806-1861
Phone (563) 322-0971

900 14TH St
De Witt, IA 52742-1004
Phone (563) 659-9131

Hospital & facility affiliations

  • Genesis HLTH System Dba Genesis MDL Ctr-Illini Hospital, Silvis, IL, CCN 140275

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4667AZMDGeneral Practice Dentistry
085.004094ILMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ora Orthopedics, PC CurrentSince Jul 29, 2011 Accepting new patients
Ora Orthopedics PC Medical CurrentSince Jul 29, 2011 Accepting new patients
Ora Orthopedics PC CurrentSince Aug 7, 2011 Accepting new patients
Advanced Radiology, S.C. Past Accepting new patients
Ora Orthopedics, PC Past Accepting new patients

Locations

2300 53rd Ave
Ste 100
Bettendorf, IA 52722
Phone (563) 459-4005

2300 53rd Ave
Ste LL04
Bettendorf, IA 52722

2300 53rd Ave
Ste LL01
Bettendorf, IA 52722
Phone (563) 441-7608

2900 S 25th St
Ste B2
Clinton, IA 52732
Phone (563) 278-8830

1414 W Lombard St
Davenport, IA 52804
Phone (563) 326-6431

6101 Northwest Blvd
Davenport, IA 52806
Phone (563) 449-7004

900 14th St
De Witt, IA 52742
Phone (563) 659-1579

3426 N Port Dr
Ste 400
Muscatine, IA 52761
Phone (563) 264-9185

1225 S Oakwood Ave
Ste 7B
Geneseo, IL 61254
Phone (309) 762-3621

520 Valley View Dr
Ste 100
Moline, IL 61265
Phone (309) 762-3621

520 Valley View Dr
Ste 400
Moline, IL 61265

520 Valley View Dr
Moline, IL 61265
Phone (309) 762-1952

985 Avenue of the Cities
Ste 105
Silvis, IL 61282
Phone (309) 762-3621

Interoperability endpoints

  • Direct secure messaging: jmiller@ora2099.srs-direct.com

Organizations & group practices 5

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": "1285027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772668800000",
    "number": "1134437304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 VALLEY VIEW DR",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612656194",
            "telephone_number": "309-762-3621",
            "fax_number": "309-762-3690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 VALLEY VIEW DR",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612656194",
            "telephone_number": "309-762-3621",
            "fax_number": "309-762-3690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "JENNIFER",
        "middle_name": "LYNNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-21",
        "last_updated": "2026-03-05",
        "certification_date": "2026-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IA",
            "license": "002207",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AZ",
            "license": "4667",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085.004094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "SCARDINO",
            "middle_name": "LYNNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Moline, IL

Sources for this page

Verify at the official NPI Registry.