NPIMap

Individual provider Active NPI

Jeri Mills, M.D.

  • Obstetrics & Gynecology Physician
  • Cook, MN
National Provider Identifier
1235189200
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
21190 Issued in AZ
Practice address
20 5TH St SE
Cook, MN 55723-9702
Phone
(218) 666-5941
Fax
(218) 666-5099
NPI assigned
May 11, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 21190 AZ Primary

Addresses

Primary practice location

20 5TH St SE
Cook, MN 55723-9702

Mailing address

PO Box 2963
Loveland, CO 80539-2963
Phone (970) 962-0058

Other identifiers 3

IdentifierTypeStateIssuer
21190OtherASMEDICAL LICENSE
44076OtherCOMEDICAL LICENSE
47543OtherMNMEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
21190AZMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Saddle Gap Emergency Physicians LLC Past Accepting new patients
Emergency Physicians Professional Association LTD Past Accepting new patients
Emcare Physician Providers, Inc Past Accepting new patients
Floyd County Memorial Hospital Commission Family Medicine Past Accepting new patients
Stronghold Emergency Physicians Past Accepting new patients
Rose Lane Emergency Physicians LLC Past Accepting new patients
Associates in Women's Health Care, PLLC Obstetrics & Gynecology Past Accepting new patients
Little Colorado Emergency Physicians LLC Past Accepting new patients
Emcare Physician Providers, Inc Past Accepting new patients
Grand Canyon State Inpatient Services Past Accepting new patients
Trans4Med, PLLC Past Accepting new patients

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1235189200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2963",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805392963",
            "telephone_number": "970-962-0058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 5TH ST SE",
            "city": "COOK",
            "state": "MN",
            "postal_code": "557239702",
            "telephone_number": "218-666-5941",
            "fax_number": "218-666-5099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLS",
        "first_name": "JERI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-11",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "AZ",
            "license": "21190",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "21190",
            "state": "AS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "44076",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "47543",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cook, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.