Kurestin Jade Miller, MD

Individual provider Active NPI Pediatrics Physician · Gordonville, PA

NPI 1700536927 · NPPES record last updated Jun 10, 2026

Key facts

NPI: 1700536927
Entity type: Individual (NPI type 1)
Primary specialty: Pediatrics Physician 208000000X
License: MD494724 (PA)
Practice address: 20 Community LN
Gordonville, PA 17529-9707
Phone: (717) 687-9407
Fax: (717) 687-9237
NPI assigned: Mar 29, 2022
Sex: Female
Sole proprietor: No

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.

The Clinic for Special Children, Inc. Pediatrics Physician · Gordonville, PA · NPI 1154541837

NPD (past) PEDIATRICS

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No
Credentials: Doctor of Medicine

Practice roles

Organization	Specialty	Status	New patients
The Clinic for Special Children, Inc.	Pediatrics	Past since Mar 24, 2024	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Internal Medicine Physician	207R00000X	MD494724	PA
Pediatrics Physician	208000000X	MD494724	PA	Yes

Addresses

Primary practice location

20 Community LN
Gordonville, PA 17529-9707

Mailing address

PO Box 500
Intercourse, PA 17534-0500
Phone (717) 687-9407

Other providers in Gordonville, PA

All providers in Gordonville, PA · Pediatrics Physician in Pennsylvania

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 10, 2026. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.