Individual provider Active NPI

Jennifer Marie Miller

  • Family Nurse Practitioner
  • Naples, FL
National Provider Identifier
1154047645
Registry record updated Aug 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11020092 Issued in FL
Practice address
2338 Immokalee Rd # 186
Naples, FL 34110-1445
Phone
(239) 596-2005
NPI assigned
Oct 17, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11020092 FL Primary

Addresses

Primary practice location

2338 Immokalee Rd # 186
Naples, FL 34110-1445

Mailing address

2338 Immokalee Rd # 186
Naples, FL 34110-1445
Phone (239) 596-2005

Other practice location 1

1485 Pine Ridge Rd
Naples, FL 34109-2114
Phone (239) 596-2005

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20230601000653 FL Practitioner - Nurse Practitioner 2769849082 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Inpatient Partners LLCGroup PAC ID 3476832528, 40 clinicians
Prestige Outpatient Providers LLCGroup PAC ID 3870929615, 16 clinicians

Practice addresses (Care Compare)

350 7TH St N
Naples, FL 34102-5754
Phone (239) 624-5000

6101 Pine Ridge Rd
Naples, FL 34119-3900
Phone (239) 348-4000

8300 Collier Blvd
Naples, FL 34114-3549
Phone (239) 354-6009

900 Imperial Golf Course Blvd
Naples, FL 34110-1085
Phone (239) 775-7715

Hospital & facility affiliations

  • Physicians Regional Medical Center - Pine Ridge Hospital, Naples, FL, CCN 100286
  • Naples Community Hospital Hospital, Naples, FL, CCN 100018

Merit-based Incentive Payment System (MIPS)

Final score
70.52 of 100Reported as group
Quality
52.2
Improvement activities
40
Cost
80.57

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11020092FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Inpatient Partners LLC CurrentSince Jul 1, 2023 Accepting new patients
Prestige Outpatient Providers, LLC CurrentSince Jan 21, 2025 Accepting new patients
Ideal Image PastSince Oct 1, 2022 Accepting new patients
Ideal Image PastSince Oct 1, 2022 Accepting new patients

Locations

350 7th St N
Naples, FL 34102
Phone (239) 436-5000

2338 Immokalee Rd
Naples, FL 34110
Phone (239) 330-2933

6101 Pine Ridge Rd
Naples, FL 34119
Phone (239) 348-4000

6135 Rattlesnake Hammock Rd
#R
Naples, FL 34113
Phone (239) 775-7715

6940 Outreach Way
North Port, FL 34287
Phone (941) 426-8411

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14267/brand/6/csg/1/fhir/r4

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 3

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": "1665964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754956800000",
    "number": "1154047645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2338 IMMOKALEE RD # 186",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341101445",
            "telephone_number": "239-596-2005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2338 IMMOKALEE RD # 186",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341101445",
            "telephone_number": "239-596-2005"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1485 Pine Ridge Rd",
            "address_purpose": "LOCATION",
            "city": "Naples",
            "state": "FL",
            "postal_code": "341092114",
            "country_code": "US",
            "telephone_number": "239-596-2005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "JENNIFER",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-17",
        "last_updated": "2025-08-12",
        "certification_date": "2025-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11020092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.