Active NPI
Jacqueline Nichole Miller, CNP
- Family Nurse Practitioner
- Westerville, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN.CNP.021436
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
Enrollment records 1
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
Practice addresses (Care Compare)
196 W Main St
Norwalk, OH 44857-1915
Phone (419) 668-2086
Hospital & facility affiliations
- Centerwell Home Health II
- Ohioans Home Healthcare, Inc
- Avita Ontario
- Fisher-Titus Hospital
- Mercy Health - Willard Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.07 of 100
- Quality
- 75
- Improvement activities
- 40
- Cost
- 79.19
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN285048 | OH | MD | Critical Care Medicine Registered Nurse |
| APRN.CNP.021436 | OH | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| M Medical Mi PLLC | Current | Accepting new patients | |
| Kidney Associates, Inc. | Current | Accepting new patients | |
| M Medical Mi PLLC | Current | Accepting new patients | |
| Signify Health, LLC | Current | 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
- 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.
-
- Nephrology Physician
- Mansfield, OH
- NPI 1851348304
-
- Geriatric Medicine (Internal Medicine) Physician
- Chillicothe, OH
- NPI 1093371312
-
- Pulmonary Disease Physician
- Detroit, MI
- NPI 1275401440
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Ontario, OH
- NPI 1790131050
-
- General Acute Care Hospital
- Norwalk, OH
- NPI 1992738959
-
- Critical Access Hospital
- Willard, OH
- NPI 1790731016
-
- Home Health Agency
- Perrysburg, OH
- NPI 1093836546
-
- Home Health Agency
- Ontario, OH
- NPI 1023318565
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2019; 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.