Individual provider Active NPI

Jessica Jo Miller, PHD, APRN, AGPCNP-BC

  • Primary Care Nurse Practitioner
  • Kansas City, MO
National Provider Identifier
1245090935
Registry record updated Jul 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
114535 Issued in NE
Practice address
4240 Blue Ridge Blvd Ste 530
Kansas City, MO 64133-1713
Phone
(888) 256-3814
Fax
(888) 256-9054
NPI assigned
Mar 20, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 114535 NE Primary

Addresses

Primary practice location

4240 Blue Ridge Blvd Ste 530
Kansas City, MO 64133-1713

Mailing address

4240 Blue Ridge Blvd Ste 530
Kansas City, MO 64133-1713
Phone (888) 256-3814

Other practice location 1

550 N 19th St
Lincoln, NE 68588-0046
Phone (402) 472-0032

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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
I20250715003361 NE Practitioner - Nurse Practitioner 1951816214 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Partners Plus PLLC CurrentSince Dec 16, 2025 Accepting new patients
Wound Care Plus, LLC CurrentSince Jul 9, 2025 Accepting new patients
Senf NP Family Medicine PLLC CurrentSince Dec 2, 2025 Accepting new patients

Locations

909 Ridgebrook Rd
Ste 300
Sparks Glencoe, MD 21152
Phone (443) 483-9300

4240 Blue Ridge Blvd
Ste 530
Kansas City, MO 64133
Phone (816) 291-4601

260 S 10th St
David City, NE 68632
Phone (402) 367-0294

1125 S 103rd St
Ste 800
Omaha, NE 68124

7710 Mercy Rd
Ste 130
Omaha, NE 68124
Phone (402) 502-8318

1299 Farnam St
Omaha, NE 68102
Phone (531) 210-0028

301 N 13th St
Saint Edward, NE 68660
Phone (402) 678-2294

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 3

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": "1710892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752019200000",
    "number": "1245090935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4240 BLUE RIDGE BLVD STE 530",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641331713",
            "telephone_number": "888-256-3814",
            "fax_number": "888-256-9054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4240 BLUE RIDGE BLVD STE 530",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641331713",
            "telephone_number": "888-256-3814",
            "fax_number": "888-256-9054"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "550 N 19th St",
            "address_purpose": "LOCATION",
            "city": "Lincoln",
            "state": "NE",
            "postal_code": "685880046",
            "country_code": "US",
            "telephone_number": "402-472-0032",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "JESSICA",
        "middle_name": "JO",
        "name_prefix": "Dr.",
        "credential": "PHD, APRN, AGPCNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-20",
        "last_updated": "2025-07-09",
        "certification_date": "2025-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NE",
            "license": "114535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.