Jacqueline Samantha McMiller, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1134782 Issued in TX

Practice address

3570 Rich Beem Ste a
El Paso, TX 79938-4333

Phone

(915) 504-6900

Fax

(833) 606-0514

NPI assigned

Nov 6, 2023

Sex

Female

Sole proprietor

Yes

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 TX

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Adolfo Benitez, MD, PA

  • Family Medicine Physician
  • El Paso, TX
  • NPI 1447567193

  Single Specialty

  Medicare reassignment NPD

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

{
    "created_epoch": "1699228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699228800000",
    "number": "1609649193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3570 RICH BEEM STE A",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799384333",
            "telephone_number": "915-504-6900",
            "fax_number": "833-606-0514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3570 RICH BEEM STE A",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799384333",
            "telephone_number": "915-504-6900",
            "fax_number": "833-606-0514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMILLER",
        "first_name": "JACQUELINE",
        "middle_name": "SAMANTHA",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-06",
        "last_updated": "2023-11-06",
        "certification_date": "2023-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1134782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew T McLean, P.T.
• Susan F. McLean, M.D.
• Steven Lee McLemore, PHARMD
• Louis Martin McMahon, O.D.
• Thomas McMillan
• Jeffrey Sherman McNeal, RN
• Kendra L McNellye-Mattox, RN, DFNP-BC
• Keron Andre McNichol, RN
• Rosemary McPharlin, DDS
• Billy Ray McPherson Jr.

• Family Nurse Practitioner in El Paso, TX
• Providers in El Paso, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.