Jaynette D Miller, ARNP

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

46004 Issued in KS

Practice address

535 S Freeborn St
Marion, KS 66861-1256

Phone

(620) 382-2177

Fax

(620) 382-9104

NPI assigned

Mar 9, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in KS

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.

• Hospital District No 1 Marion Co

  • Critical Access Hospital
  • Marion, KS
  • NPI 1144355793

  KS

  Medicare reassignment NPD
• Hospital District No 1 Marion Co

  • Durable Medical Equipment & Medical Supplies
  • Marion, KS
  • NPI 1427266014
  NPD

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486684800000",
    "number": "1982736757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 S FREEBORN ST",
            "city": "MARION",
            "state": "KS",
            "postal_code": "668611256",
            "telephone_number": "620-382-2177",
            "fax_number": "620-382-9104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 S FREEBORN ST",
            "city": "MARION",
            "state": "KS",
            "postal_code": "668611256",
            "telephone_number": "620-382-2177",
            "fax_number": "620-382-9104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "JAYNETTE",
        "middle_name": "D",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-09",
        "last_updated": "2017-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "KS",
            "license": "46004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200298750C",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12017857",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marion Family Physicians LLC
• Marion Family Smiles, P.a.
• Marion Pharmacy Inc.
• Marion, Unified School District 408
• Deborah Dawn McKibben, FNP-BC
• Jennica Nadine O'Neill, DPT
• Ruth Lynn Reed, ADVANCED REGISTERED
• Reusser and Reusser, LLC
• Adam Richards, DMD
• Nicole Lynn Sampson, OTR/L

• All providers in Marion, KS
• Acute Care Nurse Practitioner in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2017; 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.