Jennifer Lynne Miller, FNP-BC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

0024181504 Issued in VA

Practice address

15205 Joe Derting Dr
Abingdon, VA 24210-5200

Phone

(276) 739-3520

NPI assigned

Jun 8, 2021

Sex

Female

Sole proprietor

No

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.

• Southwestern Virginia Mental Health Institute

  • Hospitalist Physician
  • Marion, VA
  • NPI 1912964347

  VA

  Medicare reassignment Care Compare group NPD
• Carilion Giles Community Hospital

  • Critical Access Hospital
  • Pearisburg, VA
  • NPI 1194718304

  VA

  Medicare reassignment NPD
• Southwestern Virginia Mental Health Institute

  • Psychiatric Hospital
  • Marion, VA
  • NPI 1043274475
  Care Compare group
• Carilion Giles Community Hospital

  • Durable Medical Equipment & Medical Supplies
  • Galax, VA
  • NPI 1639980493
  NPD
• Southwestern Virginia Mental Health Institute

  • Long Term Care Pharmacy
  • Marion, VA
  • NPI 1144283094
  NPD

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southwestern Virginia Mental Health Institute 5 clinicians

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Enrolled in VA

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.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 8, 2021.

{
    "created_epoch": "1623110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623110400000",
    "number": "1881261964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1181 DON STEVENS DR",
            "city": "HONAKER",
            "state": "VA",
            "postal_code": "242607273",
            "telephone_number": "276-880-5979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15205 JOE DERTING DR",
            "city": "ABINGDON",
            "state": "VA",
            "postal_code": "242105200",
            "telephone_number": "276-739-3520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "JENNIFER",
        "middle_name": "LYNNE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-08",
        "last_updated": "2021-06-08",
        "certification_date": "2021-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024181504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kandace Leanne Miller Phillips, BS CSAC
• Miller Therapy Services PLLC
• Alicia Miller, OT
• David Duane Miller, LCSW
• Gregory H Miller, M.D.
• Lura S Miller, D.O.
• Quiana Miller, LCSW
• Mills Medical Practices, LLC
• Hannah Millsaps
• Miranda Joy Mingle, LCSW

• All providers in Abingdon, VA
• Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2021; 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.

Verify at the official NPI Registry.