Individual provider Active NPI

Jessica Miller, PA

  • Physician Assistant
  • Lubbock, TX
National Provider Identifier
1942810445
Registry record updated Jul 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA16182 Issued in TX
Practice address
6430 98TH St Ste 200
Lubbock, TX 79424-5466
Phone
(806) 370-3705
NPI assigned
Aug 9, 2020
Last updated
Jul 21, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA16182 TX Primary

Addresses

Primary practice location

6430 98TH St Ste 200
Lubbock, TX 79424-5466

Mailing address

6430 98TH St Ste 200
Lubbock, TX 79424-5466
Phone (806) 370-3705

Other practice location 1

102 S Main St
Andrews, TX 79714-7125
Phone (806) 370-3705

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20231228001692 CA Practitioner - Physician Assistant 6800267261 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Texas Tech University Health Science Center School of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Native American Mental Health Services CorporationGroup PAC ID 5395072490, 62 clinicians

Practice addresses (Care Compare)

1742 Oregon St
Redding, CA 96001-1717
Phone (530) 646-7269

800 W Harris St
Suite 33
Eureka, CA 95503-3929
Phone (707) 296-7660

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor of Science, Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA16182TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Flatland Psychiatry PLLC Physician Assistant CurrentSince Mar 11, 2025 Accepting new patients
Shawna M. Deeves M.D. P.L.L.C CurrentSince Nov 1, 2022 Accepting new patients

Locations

102 S Main St
Andrews, TX 79714
Phone (432) 223-2331

3521 50th St
Lubbock, TX 79413

6410 98th St
Ste 100
Lubbock, TX 79424
Phone (806) 370-3705

6430 98th St
Ste 200
Lubbock, TX 79424
Phone (806) 370-3705

4211 Gardendale St
Ste 200A
San Antonio, TX 78229
Phone (210) 615-7837

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1596931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784592000000",
    "number": "1942810445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6430 98TH ST STE 200",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794245466",
            "telephone_number": "806-370-3705",
            "fax_number": "806-256-8779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6430 98TH ST STE 200",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794245466",
            "telephone_number": "806-370-3705"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "102 S Main St",
            "address_purpose": "LOCATION",
            "city": "Andrews",
            "state": "TX",
            "postal_code": "797147125",
            "country_code": "US",
            "telephone_number": "806-370-3705",
            "fax_number": "800-380-6717",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "JESSICA",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-09",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA16182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

Verify at the official NPI Registry.