Individual provider Active NPI

Jessica Marie Miller, PMHNP/DNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Baltimore, MD
National Provider Identifier
1275932972
Registry record updated Jun 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R205216 Issued in MD
Practice address
900 Whitelock St Apt a
Baltimore, MD 21217-5324
Phone
(312) 342-1444
NPI assigned
Aug 19, 2014
Last updated
Jun 7, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R205216 MD Primary

Addresses

Primary practice location

900 Whitelock St Apt a
Baltimore, MD 21217-5324

Mailing address

900 Whitelock St Apt a
Baltimore, MD 21217-5324
Phone (312) 342-1444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20240821000081 MD Practitioner - Nurse Practitioner 3971041070 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sheppard Pratt Physicians PAGroup PAC ID 8224937610, 70 clinicians

Practice addresses (Care Compare)

Pikesville, MD 21208
Phone (312) 342-1444

6501 N Charles St
Baltimore, MD 21204-6819
Phone (410) 938-5000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Onsite Psychiatry CurrentSince Sep 14, 2025 Accepting new patients
Sheppard Pratt Physicians, P.a. CurrentSince Jul 15, 2024 Accepting new patients

Locations

1414 Reisterstown Rd
Pikesville, MD 21208
Phone (312) 342-1444

100 Hospital Rd
Prnc Frederck, MD 20678
Phone (410) 414-4791

6501 N Charles St
Towson, MD 21204
Phone (410) 938-3000

Organizations & group practices 2

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": "1408406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717718400000",
    "number": "1275932972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 WHITELOCK ST APT A",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212175324",
            "telephone_number": "312-342-1444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 WHITELOCK ST APT A",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212175324",
            "telephone_number": "312-342-1444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "JESSICA",
        "middle_name": "MARIE",
        "credential": "PMHNP/DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-19",
        "last_updated": "2024-06-07",
        "certification_date": "2024-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R205216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.