Jessica Miller, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

79770 Issued in KS

Practice address

1100 NW South Outer Rd Ste 200
Blue Springs, MO 64015-3069

Phone

(888) 256-3814

Fax

(888) 256-9054

NPI assigned

Oct 14, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Giaimo Mobile Podiatry LLCGroup PAC ID 7719276328, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Special Care Podiatry KS LLC

  dba 360Care

  • Podiatrist
  • Topeka, KS
  • NPI 1518321769
  Medicare reassignment Care Compare group NPD
• Regenative IV's LLC

  dba Schroeder Family Wellness Clinic

  • Holistic Clinical Nurse Specialist
  • Hutchinson, KS
  • NPI 1013620590
  Medicare reassignment NPD
• Restore Medical Group Midwest LLC

  dba Restore First Health

  • Internal Medicine Physician
  • Wichita, KS
  • NPI 1609500701

  Family

  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1602633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612396800000",
    "number": "1508464306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 NW SOUTH OUTER RD STE 200",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640153069",
            "telephone_number": "888-256-3814",
            "fax_number": "888-256-9054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 NW SOUTH OUTER RD STE 200",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640153069",
            "telephone_number": "888-256-3814",
            "fax_number": "888-256-9054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "JESSICA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-14",
        "last_updated": "2021-02-04",
        "certification_date": "2021-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "79770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Midwest Psychological Associates LLC
• Erica Rae Millay, LPC
• Chloe Miller, PLPC
• Daisy Kae Miller, OD
• Jeffrey Leo Miller, PH.D.
• Andy Lane Minor, DC
• Nicholas Minx, PTA
• Missouri Assistive Technology
• Missouri CVS Pharmacy LLC (CVS Pharmacy #08581)
• Missouri CVS Pharmacy LLC (CVS Pharmacy #08570)

• Family Nurse Practitioner in Blue Springs, MO
• Providers in Blue Springs, MO by specialty
• Family Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2021; 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.

Verify at the official NPI Registry.