Individual provider Active NPI

Jessica Lee Miksa

  • Acupuncturist
  • Frederick, MD
National Provider Identifier
1326843459
Registry record updated Feb 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
U03155 Issued in MD
Practice address
5301 Buckeystown Pike Ste 104
Frederick, MD 21704-8384
Phone
(227) 203-8353
NPI assigned
Feb 13, 2025
Last updated
Feb 13, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X U03155 MD Primary

Addresses

Primary practice location

5301 Buckeystown Pike Ste 104
Frederick, MD 21704-8384

Mailing address

1627 Trestle St
Mount Airy, MD 21771-7761
Phone (305) 793-0706

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
U03155MDMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Acupuncture Medical Clinic of Maryland Acupuncturist CurrentSince Feb 23, 2025 Accepting new patients

Locations

5301 Buckeystown Pike
Ste 104
Frederick, MD 21704
Phone (227) 203-8353

Organizations & group practices 1

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": "1739404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739404800000",
    "number": "1326843459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1627 TRESTLE ST",
            "city": "MOUNT AIRY",
            "state": "MD",
            "postal_code": "217717761",
            "telephone_number": "305-793-0706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5301 BUCKEYSTOWN PIKE STE 104",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217048384",
            "telephone_number": "227-203-8353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIKSA",
        "first_name": "JESSICA",
        "middle_name": "LEE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-13",
        "last_updated": "2025-02-13",
        "certification_date": "2025-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MD",
            "license": "U03155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2025; 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.