Active NPI
Jessica Lee Miksa
- Acupuncturist
- Frederick, MD
National Provider Identifier
1326843459
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- U03155
- Practice address
- 5301 Buckeystown Pike Ste 104
Frederick, MD 21704-8384 - Phone
- (227) 203-8353
- NPI assigned
- Feb 13, 2025
- Last updated
- Feb 13, 2025
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| U03155 | MD | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Acupuncture Medical Clinic of Maryland | Acupuncturist | Current | 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.
-
- Acupuncturist
- Frederick, MD
- NPI 1356200646
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.