Active NPI
Jennifer Lynne Miller
- Physician Assistant
- Moline, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 085.004094
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA, IL
- 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, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4667 | AZ | MD | General Practice Dentistry |
| 085.004094 | IL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ora Orthopedics, PC | Current | Accepting new patients | |
| Ora Orthopedics PC | Medical | Current | Accepting new patients |
| Ora Orthopedics PC | Current | 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
- 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.
-
- Physical Therapist
- Rock Island, IL
- NPI 1508645680
-
- Orthopaedic Surgery Physician
- De Witt, IA
- NPI 1043281355
-
- Diagnostic Radiology Physician
- Rock Island, IL
- NPI 1790773539
-
- Orthopaedic Surgery Physician
- Durant, IA
- NPI 1639159700
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Silvis, IL
- NPI 1427132604
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2026; 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.