Jenny L Miller, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

11682 Issued in AZ

Practice address

1780 N State Route 89
Chino Valley, AZ 86323-5695

Phone

(928) 460-5214

Fax

(928) 441-2915

NPI assigned

Apr 5, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CO

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, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Trinidad Area Health AssociationGroup PAC ID 2769394055, 28 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mt San Rafael Hospital Hospital, Trinidad, CO, CCN 061321

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jenny.miller.1@5071.direct.athenahealth.com

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.

• Trinidad Area Health Association

  • Critical Access Hospital
  • Trinidad, CO
  • NPI 1184616740
  Medicare reassignment Care Compare group NPD
• Trinidad Area Health Association

  • Family Medicine Physician
  • Trinidad, CO
  • NPI 1467400309
  Medicare reassignment NPD (past)

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

• Trinidad Area Health Association

  • Critical Access Hospital
  • Trinidad, CO
  • NPI 1184616740
  Care Compare affiliation

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

{
    "created_epoch": "1333584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787875200000",
    "number": "1639435514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1780 N STATE ROUTE 89",
            "city": "CHINO VALLEY",
            "state": "AZ",
            "postal_code": "863235695",
            "telephone_number": "928-460-5214",
            "fax_number": "928-441-2915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1780 N STATE ROUTE 89",
            "city": "CHINO VALLEY",
            "state": "AZ",
            "postal_code": "863235695",
            "telephone_number": "928-460-5214",
            "fax_number": "928-441-2915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "JENNY",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-05",
        "last_updated": "2026-08-28",
        "certification_date": "2026-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AZ",
            "license": "11682",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AZ LICENSE",
            "identifier": "11682",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Jason Duane Melton, PA-C
• Jennifer Lou Miller, RN
• Bruce Edward Mounsey, D.C.
• Mountain West Surgery & Sedation PLLC
• My Hometown NP
• Natural Healing Acupuncture LLC
• Frank Nelson, DDS

• Medical Physician Assistant in Chino Valley, AZ
• Providers in Chino Valley, AZ by specialty
• Medical Physician Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2026; 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.