Individual provider Active NPI

Jereana Miller

  • Primary Care Nurse Practitioner
  • Fishers, IN
National Provider Identifier
1649759408
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
28165636A Issued in IN
Practice address
9894 E 121St St
Fishers, IN 46037
Phone
(317) 621-2273
NPI assigned
Aug 11, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 28165636A IN
Primary Care Nurse Practitioner 363LP2300X 28165636A IN Primary

Addresses

Primary practice location

9894 E 121St St
Fishers, IN 46037

Mailing address

2353 Lammermoor Cir
Indianapolis, IN 46214-2294

Other practice location 1

9894 E 121st St
Fishers, IN 46037
Phone (317) 621-2273

Other practice location 2

2353 Lammermoor Cir
Indianapolis, IN 46214-2294
Phone (317) 554-7304

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jmiller340005@eCommunityDirect.com Community Physicians of Indiana Inc

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20181010000920 IN Practitioner - Nurse Practitioner 0244582864 Reassigns benefits to 1 organization
I20250822000288 TX Practitioner - Nurse Practitioner 0244582864 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pallicare, IncGroup PAC ID 8123429925, 85 clinicians

Practice addresses (Care Compare)

5803 Stoneridge Dr
Texarkana, TX 75503-1461
Phone (903) 278-5747

Hospital & facility affiliations

  • Community Health at Home LLC Home health agency, Indianapolis, IN, CCN 157046

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28165636AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Physician Services of Texas, P.a. CurrentSince Aug 1, 2025 Accepting new patients
Pallicare, Inc CurrentSince Sep 18, 2025 Accepting new patients
Community Physicians of Indiana Inc CurrentSince May 20, 2019 Accepting new patients
Community Physicians of Indiana Inc CurrentSince May 20, 2019 Accepting new patients

Locations

5819 Reliable Pkwy
Chicago, IL 60686

9894 E 121st St
Fishers, IN 46037
Phone (317) 621-2273

7120 Clearvista Dr
Ste 4000
Indianapolis, IN 46256
Phone (317) 621-7444

6626 E 75th St
Ste 500
Indianapolis, IN 46250
Phone (317) 621-7547

424 Church St
Ste 2600
Nashville, TN 37219
Phone (480) 450-3721

Interoperability endpoints

  • Direct secure messaging: jereana.miller.1@26850.direct.athenahealth.com
  • Direct secure messaging: jmiller340005@ecommunitydirect.com

Organizations & group practices 4

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1533945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1649759408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2353 LAMMERMOOR CIR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462142294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9894 E 121ST ST",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "46037",
            "telephone_number": "317-621-2273"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9894 E 121st St",
            "address_purpose": "LOCATION",
            "city": "Fishers",
            "state": "IN",
            "postal_code": "46037",
            "country_code": "US",
            "telephone_number": "317-621-2273",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2353 Lammermoor Cir",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462142294",
            "country_code": "US",
            "telephone_number": "317-554-7304",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "JEREANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-11",
        "last_updated": "2025-09-11",
        "certification_date": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "28165636A",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "IN",
            "license": "28165636A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jmiller340005@eCommunityDirect.com",
            "affiliation": "Y",
            "affiliationName": "Community Physicians of Indiana Inc",
            "address_1": "9894 E 121st St",
            "city": "Fishers",
            "state": "IN",
            "country_code": "US",
            "postal_code": "46037",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fishers, IN

Sources for this page

Verify at the official NPI Registry.