Elesa Ann Miller, FNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

APN14222 Issued in TN

Practice address

1004 Greystone SQ
Jackson, TN 38305-3580

Phone

(731) 664-1773

Fax

(731) 664-1751

NPI assigned

Jan 8, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Fast Pace Medical Clinic PLLC

  • Family Medicine Physician
  • Spring Hill, TN
  • NPI 1134452865
  Medicare reassignment NPD
• Michael E Steuer, MD, PC

  • Specialist
  • Cordova, TN
  • NPI 1861824559
  Medicare reassignment NPD
• Fast Pace Medical Clinic PLLC

  • Rural Health Clinic/Center
  • Chapel Hill, TN
  • NPI 1316602774
  NPD
• Michael E Steuer MD PC

  • Specialist
  • Jackson, TN
  • NPI 1114276052
  NPD
• Pain Institute of Nashville, PLC

  • Pain Clinic/Center
  • Clarksville, TN
  • NPI 1073049102
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1262908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572912000000",
    "number": "1821328121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1367 RUTHERFORD ST",
            "city": "UNION CITY",
            "state": "TN",
            "postal_code": "382615873",
            "telephone_number": "731-286-1900",
            "fax_number": "731-286-1939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 GREYSTONE SQ",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383053580",
            "telephone_number": "731-664-1773",
            "fax_number": "731-664-1751"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1445 US Highway 51 Byp E",
            "address_purpose": "LOCATION",
            "city": "Dyersburg",
            "state": "TN",
            "postal_code": "380242127",
            "country_code": "US",
            "telephone_number": "731-286-1900",
            "fax_number": "731-286-1939",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "146 Timber Creek Blvd",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Cordova",
            "state": "TN",
            "postal_code": "38018",
            "country_code": "US",
            "telephone_number": "901-751-4112",
            "fax_number": "901-751-9878",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "ELESA",
        "middle_name": "ANN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-08",
        "last_updated": "2019-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TN",
            "license": "14222",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "APN14222",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1518161",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Midsouth Interventional Pain Institute, LLC
• Midsouth Plastic Surgery PLLC
• Leah Marshalle Milam, RN
• Allison H Miller, O.D.
• Elena Maria Miller, PT
• Jesse Alfred Miller Jr., M.D.
• John Adam Miller
• Mark Allen Miller, D.D.S.
• Martin Eric Miller Jr.
• Marvin Tyrone Miller, M.D.

• Nurse Practitioner in Jackson, TN
• Providers in Jackson, TN by specialty
• Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.