Individual provider Active NPI

Jessica Lauren Miller, APRN

  • Family Nurse Practitioner
  • Glasgow, KY
National Provider Identifier
1174043582
Registry record updated May 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3011431 Issued in KY
Practice address
507 Trojan Trail
Glasgow, KY 42141
Phone
(844) 435-0900
Fax
(270) 858-4029
NPI assigned
Jun 27, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 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 3011431 KY Primary

Addresses

Primary practice location

507 Trojan Trail
Glasgow, KY 42141

Mailing address

PO Box 1080
Burkesville, KY 42717-1080
Phone (270) 858-6655

Other identifiers 1

IdentifierTypeStateIssuer
3011431OtherKYLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20170718002650 KY Practitioner - Nurse Practitioner 7012287444 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3011431KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
T J Samson Community Hospital Family CurrentSince Jun 27, 2017 Accepting new patients
Cumberland Family Medical Center Inc CurrentSince Aug 4, 2020 Accepting new patients
T J Samson Community Hospital Family CurrentSince Jun 27, 2017 Accepting new patients
T J Samson Community Hospital Family Current Accepting new patients
Cumberland Family Medical Center Inc Current Accepting new patients
T J Samson Community Hospital Current Accepting new patients
Cumberland Family Medical Center Inc CurrentSince Aug 4, 2020 Accepting new patients
Cumberland Family Medical Center Inc Past Accepting new patients
Cumberland Family Medical Center Inc Past Accepting new patients

Locations

360 Keen St
Burkesville, KY 42717
Phone (270) 864-1472

197 Will Walker Rd
Columbia, KY 42728
Phone (270) 384-9981

555 Trojan Trl
Glasgow, KY 42141
Phone (270) 651-4909

507 Trojan Trl
Glasgow, KY 42141
Phone (270) 651-6315

215 Parkview Dr
Glasgow, KY 42141
Phone (270) 659-2400

4601 New Salem Rd
Glasgow, KY 42141
Phone (270) 678-2722

505 Trojan Trl
Glasgow, KY 42141
Phone (270) 629-5505

301 Professional Park Dr
Glasgow, KY 42141
Phone (270) 651-5004

1301 N Race St
Glasgow, KY 42141
Phone (270) 651-4141

300 James T Rogers Dr
Glasgow, KY 42141
Phone (270) 651-3806

2002 N Jackson Hwy
Glasgow, KY 42141
Phone (270) 629-2300

310 N L Rogers Wells Blvd
Glasgow, KY 42141
Phone (270) 651-1111

8788 Tompkinsville Rd
Glasgow, KY 42141
Phone (270) 427-2611

1417 N Main St
Jamestown, KY 42629
Phone (270) 343-2597

45 Indian Mill Rd
Park City, KY 42160
Phone (270) 749-5665

Organizations & group practices 9

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": "1498521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747267200000",
    "number": "1174043582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1080",
            "city": "BURKESVILLE",
            "state": "KY",
            "postal_code": "427171080",
            "telephone_number": "270-858-6655",
            "fax_number": "270-858-4027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 TROJAN TRAIL",
            "city": "GLASGOW",
            "state": "KY",
            "postal_code": "42141",
            "telephone_number": "844-435-0900",
            "fax_number": "270-858-4029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "JESSICA",
        "middle_name": "LAUREN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-27",
        "last_updated": "2025-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3011431",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "3011431",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glasgow, KY

Sources for this page

Verify at the official NPI Registry.