Jessica Miller

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

15-02527 Issued in KS

Practice address

112 W Ross Blvd Ste C
Dodge City, KS 67801-7220

Phone

(620) 371-6900

NPI assigned

May 30, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Jessica Krestine Former name

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

Physician Assistant

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Commonspirit Kansas IncGroup PAC ID 4789595844, 62 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Centura St. Catherine-Dodge City Hospital, Dodge City, KS, CCN 170175
• St. Catherine Hospital - Garden City Hospital, Garden City, KS, CCN 170023

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• Commonspirit Kansas, Inc.

  dba St. Catherine Hospital - Garden City

  • General Acute Care Hospital
  • Garden City, KS
  • NPI 1659360196
  Medicare reassignment Care Compare group
• Commonspirit Kansas, Inc.

  • Family Medicine Physician
  • Cimarron, KS
  • NPI 1255044897
  NPD
• St Catherine Hospital

  • Family Medicine Physician
  • Ulysses, KS
  • NPI 1528771029
  NPD
• Western Plains Physician Practices,LLC

  dba Western Plains Orthopadeic Assocation

  • Orthopaedic Surgery Physician
  • Dodge City, KS
  • NPI 1942559554
  NPD
• Commonspirit Kansas, Inc.

  • Orthopaedic Surgery Physician
  • Dodge City, KS
  • NPI 1689386708
  NPD (past)
• St. Catherine Hospital

  dba St Catherine Physician Services

  • Internal Medicine Physician
  • Garden City, KS
  • NPI 1053533844
  NPD (past)

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

• Commonspirit Kansas, Inc.

  dba St. Catherine Hospital - Garden City

  • General Acute Care Hospital
  • Garden City, KS
  • NPI 1659360196
  Care Compare affiliation
• Commonspirit Kansas, Inc.

  dba St. Catherine Hospital - Dodge City

  • General Acute Care Hospital
  • Dodge City, KS
  • NPI 1689317190
  Care Compare affiliation

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

{
    "created_epoch": "1622332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661385600000",
    "number": "1609442755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 PLAZA AVE",
            "city": "DODGE CITY",
            "state": "KS",
            "postal_code": "678012724",
            "telephone_number": "913-579-5842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 W ROSS BLVD STE C",
            "city": "DODGE CITY",
            "state": "KS",
            "postal_code": "678017220",
            "telephone_number": "620-371-6900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "JESSICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-30",
        "last_updated": "2022-08-25",
        "certification_date": "2022-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "KS",
            "license": "15-02527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "KRESTINE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Madison Elise Meyer, OTR/L
• MH Health of Kansas, PA
• Mid-America Orthopedics, LLC
• Michael Louis Milford, DDS
• Roselyn Millan
• Megan Miller
• Minneola District Hospital NBR 2 (Dodge City Family Care Clinic)
• Minneola District Hospital NBR 2 (Family Care Clinic)
• Felecia Jean Minyard, APRN
• Mlab Collect, LLC

• Surgical Physician Assistant in Dodge City, KS
• Providers in Dodge City, KS by specialty
• Surgical Physician Assistant in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2022; 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.