Individual provider Active NPI

Jennifer Miller, APNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Milwaukee, WI
National Provider Identifier
1659842169
Registry record updated Sep 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
16871 Issued in WI
Practice address
7330 W Layton Ave
Milwaukee, WI 53220-3849
Phone
(414) 877-4570
NPI assigned
Dec 9, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 221847 WI
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X 16871 WI Primary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X 16871 WI

Addresses

Primary practice location

7330 W Layton Ave
Milwaukee, WI 53220-3849

Mailing address

5223 W Hillcrest Dr
Mequon, WI 53092-2012
Phone (262) 825-7200

Other practice location 1

5223 W Hillcrest Dr
Mequon, WI 53092-2012
Phone (262) 825-7200

Other practice location 2

1240 W Ranchito Ln
Mequon, WI 53092-6089
Phone (414) 877-4570

Other identifiers 1

IdentifierTypeStateIssuer
16871OtherWIAPNP LICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250804002522 WI Practitioner - Psychiatry 9830607506 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
American Behavioral Clinics SCGroup PAC ID 7517937964, 46 clinicians

Practice addresses (Care Compare)

7330 W Layton Ave
Milwaukee, WI 53220-3849
Phone (414) 281-1677

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
221847WIMDRegistered Nurse
16871WIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
American Behavioral Clinics, SC Multi-Specialty CurrentSince Jul 1, 2025 Accepting new patients

Locations

1240 W Ranchito Ln
Mequon, WI 53092
Phone (262) 240-9946

7330 W Layton Ave
Milwaukee, WI 53220
Phone (414) 281-1677

Organizations & group practices 1

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": "1544313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759190400000",
    "number": "1659842169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5223 W HILLCREST DR",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530922012",
            "telephone_number": "262-825-7200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7330 W LAYTON AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532203849",
            "telephone_number": "414-877-4570"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5223 W Hillcrest Dr",
            "address_purpose": "LOCATION",
            "city": "Mequon",
            "state": "WI",
            "postal_code": "530922012",
            "country_code": "US",
            "telephone_number": "262-825-7200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1240 W Ranchito Ln",
            "address_purpose": "LOCATION",
            "city": "Mequon",
            "state": "WI",
            "postal_code": "530926089",
            "country_code": "US",
            "telephone_number": "414-877-4570",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "JENNIFER",
        "credential": "APNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-09",
        "last_updated": "2025-09-30",
        "certification_date": "2025-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "221847",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WI",
            "license": "16871",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "16871",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APNP LICENSE NUMBER",
            "identifier": "16871",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.