Individual provider Active NPI

Jacob N Miller, M.D.

  • Psychiatry Physician
  • Cedar Rapids, IA
National Provider Identifier
1548613490
Registry record updated Apr 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD-44805 Issued in IA
Practice address
1026 A Ave NE
Cedar Rapids, IA 52402-5036
Phone
(319) 369-7959
NPI assigned
Jul 15, 2016
Last updated
Apr 4, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD-44805 IA Primary

Addresses

Primary practice location

1026 A Ave NE
Cedar Rapids, IA 52402-5036

Mailing address

1026 A Ave NE
Cedar Rapids, IA 52402-5036
Phone (319) 369-7959

Other names 1

  • Dr. Jake N Miller Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180703002150 IA Practitioner - Psychiatry 1052605524 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Sanford School of Medicine of University of South Dakota, 2016
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
St Lukes Methodist HospitalGroup PAC ID 6608786751, 82 clinicians

Practice addresses (Care Compare)

1026 A Ave NE
Cedar Rapids, IA 52402-5036
Phone (319) 369-7211

1470 21St Ave N
Fort Dodge, IA 50501-7114
Phone (515) 573-8243

2400 6TH Ave N
Fort Dodge, IA 50501-3541
Phone (515) 576-1138

2721 10TH Ave N
Fort Dodge, IA 50501-2834
Phone (515) 576-7525

420 Kenyon Rd
Fort Dodge, IA 50501-5749
Phone (515) 573-2121

720 Kenyon Rd
Fort Dodge, IA 50501-5787
Phone (515) 955-7171

728 14TH Ave N
Fort Dodge Health and Rehabilitation
Fort Dodge, IA 50501-7016
Phone (515) 576-7226

802 Kenyon Rd
Fort Dodge, IA 50501-5747

925 Martin Luther King Dr
Fort Dodge, IA 50501-2866
Phone (515) 576-6525

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.76 of 100Reported as group
Quality
75.82
Promoting interoperability
81
Improvement activities
40
Cost
75.88

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD-44805IAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Luke's Methodist Hospital CurrentSince Jul 9, 2018 Accepting new patients
St Luke's Methodist Hospital CurrentSince Jul 9, 2018 Accepting new patients
Allen Memorial Hospital Corporation CurrentSince May 1, 2024 Accepting new patients
North Central Iowa Mental Health Center Inc CurrentSince Feb 10, 2025 Accepting new patients
Allen Memorial Hospital Corporation Psychiatry CurrentSince May 1, 2024 Accepting new patients
North Central Iowa Mental Health Center Inc CurrentSince Feb 10, 2025 Accepting new patients
Trinity Regional Medical Center Past Accepting new patients
Allen Memorial Hospital Corporation Past Accepting new patients
St Luke's Methodist Hospital Past Accepting new patients

Locations

1026 A Ave NE
Cedar Rapids, IA 52402
Phone (319) 369-5970

720 Kenyon Rd
Fort Dodge, IA 50501
Phone (515) 570-8261

1825 Logan Ave
Waterloo, IA 50703
Phone (319) 235-3886

Interoperability endpoints

  • Direct secure messaging: jmiller628046@direct.unitypoint.org

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1468540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712188800000",
    "number": "1548613490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1026 A AVE NE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524025036",
            "telephone_number": "319-369-7959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1026 A AVE NE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524025036",
            "telephone_number": "319-369-7959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "JACOB",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-15",
        "last_updated": "2024-04-04",
        "certification_date": "2024-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IA",
            "license": "MD-44805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAKE",
            "last_name": "MILLER",
            "middle_name": "N",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Cedar Rapids, IA

Sources for this page

Verify at the official NPI Registry.