Active NPI
Jess Ransom Miller, MD
- Family Medicine Physician
- Mount Angel, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 186079
- Practice address
- 250 W Marquam St
Mount Angel, OR 97362 - Phone
- (503) 845-2000
- Fax
- (503) 845-2384
- NPI assigned
- Dec 7, 2010
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 0101247988 | VA | |
| Family Medicine Physician | 207Q00000X | 53724 | TN | |
| Family Medicine Physician | 207Q00000X | 186079 | OR | Primary |
Addresses
Primary practice location
250 W Marquam St
Mount Angel, OR 97362
Mailing address
1497 W Elk Ave
Suite 21
Elizabethton, TN 37643-2895
Phone (423) 542-7420
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215230651 | Medicaid | VA | |
| Q021281 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Texas Medical School at Houston, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
250 W Marquam St
Mount Angel, OR 97362-9520
Phone (503) 845-2000
335 Fairview St
Silverton, OR 97381-1916
Phone (503) 874-5640
347 Fairview St
Silverton, OR 97381-1916
Phone (503) 873-5667
Hospital & facility affiliations
- First Call Home Health Agency, LLC
- Legacy Silverton Medical Center
- Salem Hospital
- Legacy Meridian Park Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 186079 | OR | MD | Family Medicine Physician |
| 0101247988 | VA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Silverton Health | Current | Accepting new patients | |
| Silverton Health | Current | Accepting new patients | |
| Silverton Health | Family Medicine | Current | Accepting new patients |
| Silverton Health | Current | Accepting new patients |
Locations
861 W Main St
Molalla, OR 97038
Phone (503) 829-7344
250 W Marquam St
Mount Angel, OR 97362
Phone (503) 845-2000
1919 NW Lovejoy St
Portland, OR 97209
Phone (503) 415-5600
347 Fairview St
Silverton, OR 97381
Phone (503) 873-5667
342 Fairview St
Silverton, OR 97381
Phone (503) 525-7660
1475 Mount Hood Ave
Woodburn, OR 97071
Phone (503) 982-2174
Interoperability endpoints
- jmiller275283@direct.lhs.org
Organizations & group practices 4
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.
-
- General Acute Care Hospital
- Silverton, OR
- NPI 1669424354
-
- Rural Health Clinic/Center
- Mount Angel, OR
- NPI 1528171543
-
- Rural Health Clinic/Center
- Woodburn, OR
- NPI 1679686463
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Salem, OR
- NPI 1740260801
-
- General Acute Care Hospital
- Tualatin, OR
- NPI 1184647620
-
- General Acute Care Hospital
- Salem, OR
- NPI 1265431829
-
- General Acute Care Hospital
- Silverton, OR
- NPI 1669424354
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1291680000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533168000000",
"number": "1215230651",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1497 W ELK AVE",
"address_2": "SUITE 21",
"city": "ELIZABETHTON",
"state": "TN",
"postal_code": "376432895",
"telephone_number": "423-542-7420",
"fax_number": "423-542-7425"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 W MARQUAM ST",
"city": "MOUNT ANGEL",
"state": "OR",
"postal_code": "97362",
"telephone_number": "503-845-2000",
"fax_number": "503-845-2384"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "JESS",
"middle_name": "RANSOM",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-12-07",
"last_updated": "2018-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "VA",
"license": "0101247988",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TN",
"license": "53724",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OR",
"license": "186079",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1215230651",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Q021281",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mount Angel, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2018; 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.