Jessica D Miller, FNP
Individual provider Active NPI Family Nurse Practitioner · Richfield Springs, NY
NPI 1295986131 · NPPES record last updated Oct 9, 2008
Key facts
- NPI
- 1295986131
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 335709 (NY)
- Practice address
- 8550 State Highway 28
Richfield Springs, NY 13439-4830 - Phone
- (315) 858-0040
- Fax
- (315) 858-0075
- NPI assigned
- Oct 9, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 17
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Little Falls Hospital
Mary Imogene Bassett Hospital
Practice addresses (Care Compare)
8550 State Hwy 28
Richfield Springs, NY 13439-4830
Phone (315) 858-0040
Hospital & facility affiliations
- At Home Care Inc Chha
- Bassett Healthcare
- Little Falls Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.62 of 100
- Quality
- 77.97
- Promoting interoperability
- 98
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090113000446 | NY | Practitioner - Nurse Practitioner | 2769545052 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 335709 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mary Imogene Bassett Hospital | Current |
Accepting new patients | |
| Mary Imogene Bassett Hospital | Current |
Accepting new patients | |
| Little Falls Hospital | Current |
Accepting new patients | |
| Little Falls Hospital | Family | Current |
Accepting new patients |
| Little Falls Hospital | Past | Accepting new patients |
Locations
178 Grandview Dr
Cobleskill, NY 12043
Phone (518) 254-3456
1 Atwell Rd
Cooperstown, NY 13326
Phone (607) 547-3480
8550 State Highway 28
Richfield Springs, NY 13439
Phone (315) 858-0040
Interoperability endpoints
- jmiller5480@bassett.direct-ci.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 335709 | NY | Yes |
Addresses
Primary practice location
8550 State Highway 28
Richfield Springs, NY 13439-4830
Mailing address
PO Box 725
Cooperstown, NY 13326-0725
Phone (315) 858-0040
Other providers in Richfield Springs, NY
- William J Kosina
- KPH Healthcare Services, Inc.
- Little Falls Hospital
- Samantha R Maine
- Jennifer Marriott
- James Murphy
- Ashley Marie Oakley
- Richfield Springs CSD
- Ramona Marie Udovich
- Village of Richfield Springs
All providers in Richfield Springs, NY · Family Nurse Practitioner in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 9, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.