Active NPI
Jeffrey G. Miller, A.P.N.P.
- Psychiatric/Mental Health Nurse Practitioner
- Milwaukee, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 541
- Practice address
- 1155 N Mayfair Rd
Department of Psychiatry
Milwaukee, WI 53226-3462 - Phone
- (414) 955-8900
- Fax
- (414) 955-6285
- NPI assigned
- Oct 12, 2006
- Last updated
- Oct 17, 2012
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 541 | WI | Primary |
Addresses
Primary practice location
1155 N Mayfair Rd
Department of Psychiatry
Milwaukee, WI 53226-3462
Mailing address
1155 N Mayfair Rd
Department of Psychiatry
Milwaukee, WI 53226-3462
Phone (414) 955-8900
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457440919 | Medicaid | WI | |
| S47871 | Other | WI | UPIN NUMBER |
| 39405100 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- 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, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2311 N Prospect Ave
Milwaukee, WI 53211-4445
Phone (414) 319-3000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 541 | WI | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Froedtert &the Medical College of Wisconsin Community Physicians, Inc. | Current | Accepting new patients | |
| Columbia St. Mary's Hospital Milwaukee, Inc | Current | Accepting new patients | |
| Froedtert &the Medical College of Wisconsin Community Physicians, Inc. | Current | Accepting new patients | |
| Columbia St. Mary's Hospital Milwaukee, Inc | Current | Accepting new patients | |
| Ascension Medical Group-Southeast Wisconsin Inc | Current | Accepting new patients | |
| Columbia St. Mary's Hospital Milwaukee Inc | Current | Accepting new patients | |
| The Medical College of Wisconsin, Inc. | Current | Accepting new patients | |
| Sacred Heart Rehabilitation Institute, Inc. | Past | Accepting new patients | |
| Ascension All Saints Hospital, Inc | Past | Accepting new patients |
Locations
13950 W Capitol Dr
Brookfield, WI 53005
Phone (414) 302-5400
10101 S 27th St
Franklin, WI 53132
Phone (414) 325-4700
W168N11237 Western Ave
Germantown, WI 53022
Phone (262) 253-5060
N112W15415 Mequon Rd
Germantown, WI 53022
Phone (262) 250-7800
W129N7055 Northfield Dr
Menomonee Falls, WI 53051
Phone (262) 251-5305
10911 N Port Washington Rd
Mequon, WI 53092
Phone (262) 241-2080
2323 N Lake Dr
Milwaukee, WI 53211
Phone (414) 291-1000
2311 N Prospect Ave
Milwaukee, WI 53211
Phone (414) 319-3000
Bin 88350
Milwaukee, WI 53288
Phone (414) 805-3122
34700 Valley Rd
Oconomowoc, WI 53066
13111 N Port Washington Rd
Thiensville, WI 53097
Phone (262) 243-7300
1155 N Mayfair Rd
Wauwatosa, WI 53226
Phone (414) 955-5990
201 N Mayfair Rd
Fl 2
Wauwatosa, WI 53226
Phone (414) 771-8228
840 N 87th St
Wauwatosa, WI 53226
Phone (414) 805-5540
8701 Watertown Plank Rd
Wauwatosa, WI 53226
Phone (414) 456-4100
801 S 70th St
West Allis, WI 53214
Phone (414) 773-6600
Organizations & group practices 9
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.
-
dba Ascension Columbia St Mary's Hospital Milwaukee
- Multi-Specialty Clinic/Center
- Milwaukee, WI
- NPI 1023064482
-
dba Ascension Medical Group
- Internal Medicine Physician
- Glendale, WI
- NPI 1609881077
-
- Internal Medicine Physician
- Menomonee Falls, WI
- NPI 1568787448
-
- Internal Medicine Physician
- Milwaukee, WI
- NPI 1699720086
-
dba Ascension Columbia St Mary's Hospital Ozaukee
- Psychiatric Hospital Unit
- Mequon, WI
- NPI 1417600909
-
dba Ascension Columbia St Mary's Hospital Milwaukee
- Psychiatric Hospital Unit
- Milwaukee, WI
- NPI 1811926132
-
- Durable Medical Equipment & Medical Supplies
- Wauwatosa, WI
- NPI 1154947224
-
dba Ascension All Saints Hospital
- Rehabilitation Hospital Unit
- Racine, WI
- NPI 1417966540
-
dba Ascension Sacred Heart Rehabilitation Hospital
- Rehabilitation Hospital
- Mequon, WI
- NPI 1508920356
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Ascension Columbia St Mary's Hospital Milwaukee Campus
- General Acute Care Hospital
- Milwaukee, WI
- NPI 1871656082
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1350432000000",
"number": "1457440919",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1155 N MAYFAIR RD",
"address_2": "DEPARTMENT OF PSYCHIATRY",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532263462",
"telephone_number": "414-955-8900",
"fax_number": "414-955-6285"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1155 N MAYFAIR RD",
"address_2": "DEPARTMENT OF PSYCHIATRY",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532263462",
"telephone_number": "414-955-8900",
"fax_number": "414-955-6285"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "JEFFREY",
"middle_name": "G.",
"name_prefix": "Mr.",
"credential": "A.P.N.P.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-12",
"last_updated": "2012-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "WI",
"license": "541",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1457440919",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UPIN NUMBER",
"identifier": "S47871",
"state": "WI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "39405100",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2012; 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.