Individual provider Active NPI

Jacqueline Nichole Miller, CNP

  • Family Nurse Practitioner
  • Westerville, OH
National Provider Identifier
1689979486
Registry record updated Jun 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.021436 Issued in OH
Practice address
237 W Schrock Rd Ste B
Westerville, OH 43081-2874
Phone
(614) 891-0005
NPI assigned
Jan 26, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine Registered Nurse 163WC0200X RN285048 OH
Emergency Registered Nurse 163WE0003X RN285048 OH
Family Nurse Practitioner 363LF0000X APRN.CNP.021436 OH Primary

Addresses

Primary practice location

237 W Schrock Rd Ste B
Westerville, OH 43081-2874

Mailing address

237 W Schrock Rd Ste B
Westerville, OH 43081-2874
Phone (614) 891-0005

Other names 1

  • Jackie Nichole Miller Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20170911002255 OH Practitioner - Nurse Practitioner 2668745878 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
M Medical Mi PLLCGroup PAC ID 6002332012, 13 clinicians

Practice addresses (Care Compare)

196 W Main St
Norwalk, OH 44857-1915
Phone (419) 668-2086

Hospital & facility affiliations

  • Centerwell Home Health II Home health agency, Solon, OH, CCN 368104
  • Ohioans Home Healthcare, Inc Home health agency, Perrysburg, OH, CCN 368247
  • Avita Ontario Hospital, Ontario, OH, CCN 360365
  • Fisher-Titus Hospital Hospital, Norwalk, OH, CCN 360065
  • Mercy Health - Willard Hospital Hospital, Willard, OH, CCN 361310

Merit-based Incentive Payment System (MIPS)

Final score
90.07 of 100Reported as group
Quality
75
Improvement activities
40
Cost
79.19

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN285048OHMDCritical Care Medicine Registered Nurse
APRN.CNP.021436OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
M Medical Mi PLLC CurrentSince Oct 31, 2025 Accepting new patients
Kidney Associates, Inc. CurrentSince Jul 18, 2022 Accepting new patients
M Medical Mi PLLC CurrentSince Oct 31, 2025 Accepting new patients
Signify Health, LLC CurrentSince Jan 11, 2026 Accepting new patients

Locations

175 S 3rd St
Ste 200
Columbus, OH 43215
Phone (267) 817-8902

661 S Trimble Rd
Mansfield, OH 44906
Phone (419) 774-0478

196 W Main St
Norwalk, OH 44857
Phone (419) 408-9430

54 S Washington St
Tiffin, OH 44883
Phone (419) 447-6885

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Interoperability endpoints

  • Direct secure messaging: jmiller@kidneyassoc.medentdirect.com

Organizations & group practices 5

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 5

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": "1296000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561593600000",
    "number": "1689979486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "237 W SCHROCK RD STE B",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430812874",
            "telephone_number": "614-891-0005",
            "fax_number": "614-890-3614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "237 W SCHROCK RD STE B",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430812874",
            "telephone_number": "614-891-0005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "JACQUELINE",
        "middle_name": "NICHOLE",
        "name_prefix": "Mrs.",
        "credential": "CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-26",
        "last_updated": "2019-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "OH",
            "license": "RN285048",
            "primary": false
        },
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "OH",
            "license": "RN285048",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.021436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACKIE",
            "last_name": "MILLER",
            "middle_name": "NICHOLE",
            "credential": "CNP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Westerville, OH

Sources for this page

Verify at the official NPI Registry.