Individual provider Active NPI

Jamie Lynne Miller, APRN CP

  • Nephrology Physician
  • Tulsa, OK
National Provider Identifier
1801334982
Registry record updated Nov 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
100610 Issued in OK
Practice address
2000 S. Wheeling Avenue Ste 510
Tulsa, OK 74104
Phone
(918) 747-5200
Fax
(918) 858-0290
NPI assigned
Feb 8, 2017
Last updated
Nov 25, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 100610 OK Primary

Addresses

Primary practice location

2000 S. Wheeling Avenue Ste 510
Tulsa, OK 74104

Mailing address

2000 S. Wheeling Avenue, Ste 510
Tulsa, OK 74104
Phone (918) 747-5200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, 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
I20170314000087 OK Practitioner - Nurse Practitioner 1153606165 Reassigns benefits to 2 organizations
I20240913001245 TX Practitioner - Nurse Practitioner 1153606165 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nephrology Associates, Inc.Group PAC ID 9234020629, 21 clinicians

Practice addresses (Care Compare)

2000 S Wheeling Ave
Suite 510
Tulsa, OK 74104-5642
Phone (918) 747-5200

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
100610OKMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Creek Nation Hospital & Clinics Current Accepting new patients
Creek Nation Hospital & Clinics CurrentSince Sep 4, 2024 Accepting new patients
Nephrology Associates, Inc. Nephrology CurrentSince Mar 1, 2017 Accepting new patients
Creek Nation Hospital & Clinics CurrentSince Sep 4, 2024 Accepting new patients
Creek Nation Hospital & Clinics CurrentSince Sep 4, 2024 Accepting new patients

Locations

3500 State St
Bartlesville, OK 74006
Phone (918) 224-9620

1101 S Belmont Ave
Ste 204
Okmulgee, OK 74447
Phone (918) 756-3526

1401 Morris Dr
Okmulgee, OK 74447
Phone (918) 456-0641

900 E Airport Rd
Okmulgee, OK 74447
Phone 91875643334448

10109 E 79th St
Tulsa, OK 74133
Phone (888) 552-6760

2000 S Wheeling Ave
Ste 510
Tulsa, OK 74104
Phone (918) 747-5200

Dept 1467
Tulsa, OK 74182

Dept 515
Tulsa, OK 74182

Interoperability endpoints

  • Direct secure messaging: jmiller36522@direct.acumenmd.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1486512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732492800000",
    "number": "1801334982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 S. WHEELING AVENUE, STE 510",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "74104",
            "telephone_number": "918-747-5200",
            "fax_number": "918-858-0290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 S. WHEELING AVENUE STE 510",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "74104",
            "telephone_number": "918-747-5200",
            "fax_number": "918-858-0290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "JAMIE",
        "middle_name": "LYNNE",
        "credential": "APRN CP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-08",
        "last_updated": "2024-11-25",
        "certification_date": "2024-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "OK",
            "license": "100610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.