Individual provider Active NPI

Jennifer L Miles, ARNP

  • Obstetrics & Gynecology Nurse Practitioner
  • Tallahassee, FL
National Provider Identifier
1609960459
Registry record updated Feb 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X
License
ARNP2751132 Issued in FL
Practice address
1775 One Healing PL
Tallahassee, FL 32308-4600
Phone
(850) 431-5360
Fax
(850) 431-5367
NPI assigned
Oct 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Nurse Practitioner 363LX0001X ARNP2751132 FL Primary

Addresses

Primary practice location

1775 One Healing PL
Tallahassee, FL 32308-4600

Mailing address

1775 One Healing PL
Tallahassee, FL 32308-4600
Phone (850) 431-5360

Other identifiers 3

IdentifierTypeStateIssuer
P00282701OtherRAILROAD MEDICARE
306425500MedicaidFL
Y057VOtherFLBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20040928001278 FL Practitioner - Nurse Practitioner 5496724270 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Woman Care LLCGroup PAC ID 5395807218, 607 clinicians

Practice addresses (Care Compare)

3217 Capital Medical Blvd
Tallahassee, FL 32308-4413
Phone (850) 320-7693

Merit-based Incentive Payment System (MIPS)

Final score
88.76 of 100Reported as group
Quality
84.84
Promoting interoperability
100
Improvement activities
40
Cost
77.7

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tallahassee Memorial Healthcare Inc Current Accepting new patients
Florida Woman Care, LLC CurrentSince May 1, 2024 Accepting new patients
Tallahassee Memorial Healthcare Inc CurrentSince Mar 8, 2016 Accepting new patients
Tallahassee Memorial Healthcare Inc CurrentSince Mar 8, 2016 Accepting new patients
Womencare PA Past Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients

Locations

2815 S Seacrest Blvd
Ste 112
Boynton Beach, FL 33435
Phone (561) 368-0233

3000 Hunters Creek Blvd
Orlando, FL 32837
Phone (407) 337-8814

555 N Byron Butler Pkwy
Perry, FL 32347
Phone (850) 431-5360

3217 Capital Medical Blvd
Tallahassee, FL 32308
Phone (850) 320-7693

1775 One Healing Pl
Tallahassee, FL 32308
Phone (850) 431-4226

1401 Centerville Rd
Ste 400
Tallahassee, FL 32308
Phone (850) 431-3360

Interoperability endpoints

  • Direct secure messaging: jennifer.miles.1@2183.direct.athenahealth.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455580800000",
    "number": "1609960459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1775 ONE HEALING PL",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084600",
            "telephone_number": "850-431-5360",
            "fax_number": "850-431-5367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1775 ONE HEALING PL",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084600",
            "telephone_number": "850-431-5360",
            "fax_number": "850-431-5367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILES",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2016-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "FL",
            "license": "ARNP2751132",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00282701",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "306425500",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "Y057V",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

Verify at the official NPI Registry.