Jessica L Mills, APRN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

3003460 Issued in KY

Practice address

850 Riverview Ave
Pineville, KY 40977

Phone

(606) 337-7779

Fax

(606) 337-5437

NPI assigned

Feb 6, 2007

Last updated

Sep 16, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cumberland Valley District Health Department

  • Public Health or Welfare Agency
  • Pineville, KY
  • NPI 1962549501
  Medicare reassignment NPD
• Cumberland Valley District Health Department

  • Public Health or Welfare Agency
  • Mount Vernon, KY
  • NPI 1912049941
  NPD
• Cumberland Valley District Health Department

  dba Cumberland Valley District Home Health

  • Home Health Agency
  • Manchester, KY
  • NPI 1982762514
  NPD

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442361600000",
    "number": "1184763963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 RIVERVIEW AVE",
            "city": "PINEVILLE",
            "state": "KY",
            "postal_code": "40977",
            "telephone_number": "606-337-7779",
            "fax_number": "606-337-5437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 RIVERVIEW AVE",
            "city": "PINEVILLE",
            "state": "KY",
            "postal_code": "40977",
            "telephone_number": "606-337-7779",
            "fax_number": "606-337-5437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLS",
        "first_name": "JESSICA",
        "middle_name": "L",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-06",
        "last_updated": "2015-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3003460",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100130530",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Middlesboro High School
• Middlesboro Intermediate School
• Middlesboro Middle School
• Middlesboro Primary School
• Andrea Kaye Miller, PMH-NP
• Sandra Miracle
• Madhan Mohan, MD
• Morgan Drug Store,Inc.
• Steven Kenneth Morgan, M.D.
• Mountain Comprehensive Health Corporation (Pineville Independent School Based Clinic)

• Nurse Practitioner in Pineville, KY
• Providers in Pineville, KY by specialty
• Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2015; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.