Active NPI
Jaclyn Miller, NP-BC
- Family Nurse Practitioner
- Plantsville, CT
National Provider Identifier
1326528415
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 7695
- Practice address
- 710 Main St BLDG 1
Plantsville, CT 06479-1568 - Phone
- (860) 276-8453
- NPI assigned
- Aug 17, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 7695 | CT | Primary |
Addresses
Primary practice location
710 Main St BLDG 1
Plantsville, CT 06479-1568
Mailing address
PO Box 440
Marion, CT 06444-0440
Phone (203) 565-4190
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
111 Westcott Rd
Danielson, CT 06239-2929
Phone (718) 298-4375
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.14 of 100
- Quality
- 71.85
- Improvement activities
- 40
- Cost
- 75.41
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Impact Health P.C. | Family | Current | Accepting new patients |
| Step Up Care PC LLC | Current | Accepting new patients | |
| Alkesh V Patel MD LLC | Family | Past | Accepting new patients |
| Absolute Outcomes, LLC | Past | Accepting new patients |
Locations
111 Westcott Rd
Danielson, CT 06239
Phone (860) 774-9540
240 Indian River Rd
Ste C
Orange, CT 06477
Phone (203) 497-3867
27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951
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.
-
- Counselor
- Danielson, CT
- NPI 1154884740
-
- Internal Medicine Physician
- Monroe, CT
- NPI 1073746202
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534464000000",
"number": "1326528415",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 440",
"city": "MARION",
"state": "CT",
"postal_code": "064440440",
"telephone_number": "203-565-4190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "710 MAIN ST BLDG 1",
"city": "PLANTSVILLE",
"state": "CT",
"postal_code": "064791568",
"telephone_number": "860-276-8453"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "JACLYN",
"name_prefix": "Mrs.",
"credential": "NP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-17",
"last_updated": "2018-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CT",
"license": "7695",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plantsville, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 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.