Individual provider Active NPI

Jessie F Miles, PA-C

  • Medical Physician Assistant
  • Goodyear, AZ
National Provider Identifier
1619983350
Registry record updated Apr 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
3117 Issued in AZ
Practice address
14200 W Celebrate Life Way
Goodyear, AZ 85338-3007
Phone
(623) 207-3161
NPI assigned
Aug 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 3117 AZ Primary

Addresses

Primary practice location

14200 W Celebrate Life Way
Goodyear, AZ 85338-3007

Mailing address

14200 W Celebrate Life Way
Goodyear, AZ 85338-3007
Phone (623) 207-3161

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20060821000130 AZ Practitioner - Physician Assistant 3577566108 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
City of Hope Medical Group of Arizona LLCGroup PAC ID 2264593474, 159 clinicians

Practice addresses (Care Compare)

14200 W Celebrate Life Way
Goodyear, AZ 85338-3007
Phone (623) 207-3000

Merit-based Incentive Payment System (MIPS)

Final score
78.52 of 100Reported as group
Quality
66.08
Promoting interoperability
100
Improvement activities
40
Cost
58.3

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
3117AZMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Banner Physician Specialists Arizona LLC Current Accepting new patients
Banner Physician Specialists Arizona LLC CurrentSince Jan 2, 2018 Accepting new patients
Banner Cancer Center Specialists LLC CurrentSince Jan 2, 2018 Accepting new patients
Tri-City Express Care, PLLC CurrentSince Oct 15, 2014 Accepting new patients
Banner Physician Specialists Arizona LLC CurrentSince Jan 2, 2018 Accepting new patients
Tri-City Express Care, PLLC Past Accepting new patients
Tri-City Express Care, PLLC Past Accepting new patients
Tri-City Express Care, PLLC Past Accepting new patients
City of Hope Medical Group of Arizona LLC Past Accepting new patients
Tri-City Express Care, PLLC Past Accepting new patients
Tri-City Express Care, PLLC Past Accepting new patients
Gila Internal Medicine & Geriatric P C Past Accepting new patients
Honorhealth Urgent Care, LLC Past Accepting new patients
Tri-City Express Care, PLLC Past Accepting new patients

Locations (25 of 33)

4959 W Ray Rd
Ste 33
Chandler, AZ 85226
Phone (480) 214-2188

2875 W Ray Rd
Ste 8
Chandler, AZ 85224
Phone (480) 726-3440

495 N Pinal Pkwy
Ste 106
Florence, AZ 85132
Phone (520) 568-0573

920 E Williams Field Rd
Ste 101
Gilbert, AZ 85295
Phone (480) 499-0201

1920 N Higley Rd
Ste 308
Gilbert, AZ 85234
Phone (480) 543-6600

1900 N Higley Rd
Gilbert, AZ 85234
Phone (480) 543-2000

2946 E Banner Gateway Dr
Rm 2008
Gilbert, AZ 85234
Phone (480) 256-4523

890 W Elliot Rd
Ste 103
Gilbert, AZ 85233
Phone (480) 241-7564

2946 E Banner Gateway Dr
Gilbert, AZ 85234
Phone (480) 256-5450

3730 W Happy Valley Rd
Ste 100
Glendale, AZ 85310
Phone (623) 277-4140

1507 N Litchfield Rd
Ste 200
Goodyear, AZ 85395
Phone (623) 215-0040

415 N Val Vista Dr
Ste 101
Mesa, AZ 85213
Phone (480) 654-5661

1810 S Power Rd
Ste 101
Mesa, AZ 85206
Phone (480) 214-0045

835 W University Dr
Mesa, AZ 85201
Phone (480) 664-6007

1955 S Signal Butte Rd
Ste 103
Mesa, AZ 85209
Phone (480) 214-4466

9165 W Thunderbird Rd
Ste 200
Peoria, AZ 85381
Phone (623) 285-1120

2423 W Dunlap Ave
Ste 150
Phoenix, AZ 85021
Phone (602) 216-6862

3302 W Thomas Rd
Ste 10
Phoenix, AZ 85017
Phone (602) 233-2900

8260 W Indian School Rd
Ste 1
Phoenix, AZ 85033
Phone (623) 846-7122

5259 W Indian School Rd
Ste 100
Phoenix, AZ 85031
Phone (623) 888-5101

5201 N 19th Ave
Ste 100
Phoenix, AZ 85015
Phone (404) 447-0127

2301 N 44th St
Phoenix, AZ 85008
Phone (602) 808-8786

7730 E McDowell Rd
Ste 101
Scottsdale, AZ 85257
Phone (480) 699-3314

4902 E Shea Blvd
Ste 101
Scottsdale, AZ 85254
Phone (480) 214-4468

10401 W Thunderbird Blvd
Sun City, AZ 85351
Phone (623) 815-7690

Interoperability endpoints

  • Direct secure messaging: jmiles145027@cityofhope.direct-ci.com

Organizations & group practices 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460592000000",
    "number": "1619983350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14200 W CELEBRATE LIFE WAY",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853383007",
            "telephone_number": "623-207-3161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14200 W CELEBRATE LIFE WAY",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853383007",
            "telephone_number": "623-207-3161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILES",
        "first_name": "JESSIE",
        "middle_name": "F",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2016-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AZ",
            "license": "3117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goodyear, AZ

Sources for this page

Verify at the official NPI Registry.