KIMBERLY W. MILLER FNP
NPI 1073548350
Nurse Practitioner in Jackson, MS
About Kimberly W. Miller Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KIMBERLY W. MILLER FNP (NPI 1073548350) is an individual nurse practitioner in Jackson, Mississippi, licensed in Mississippi (R858593) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, maintains 21 additional practice locations, and is a graduate of Other (2002).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 21
Other Identifiers 4
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kimberly W. Miller Fnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Kimberly Miller reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Jackson, MS 39216
- Reassigned Medicare billing, Mississippi enrollment
- 1,932 clinicians in this Medicare group
Jackson, MS 39202
- Reassigned Medicare billing, Mississippi enrollment
- Medicare enrollment name: Medical Foundation Of Central Mississippi Inc
- 423 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 10
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 39216 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
JACKSON, MS 39216
JACKSON, MS 39216
JACKSON, MS 39216
JACKSON, MS 39216
JACKSON, MS 39216
JACKSON, MS 39216
JACKSON, MS 39216
JACKSON, MS 39216
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Kimberly Miller's NPI number?
The NPI number for Kimberly Miller is 1073548350. It was assigned to this individual provider in the NPPES registry on July 12, 2006.
Where is Kimberly Miller located?
Kimberly Miller practices at 2500 North State Street Department Of Medicine/Division Of Cardiology, Jackson, MS 39216. The listed phone number is (601) 984-5630.
What is Kimberly Miller's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Kimberly Miller enrolled in Medicare?
Yes. Kimberly Miller is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Kimberly Miller's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Miller reassigns Medicare benefits to 2 organizations: State Of Mississippi - University Of Mississippi Medical Center (Jackson, MS) and Baptist Jackson Heart Cardiology Clinic-Magee (Jackson, MS). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kimberly Miller's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kimberly Miller accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 4 other insurers list Kimberly Miller as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Kimberly Miller was last updated on October 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Kimberly W. Miller, FNP · NPI 1073548350
Nurse Practitioner physician in Jackson, Mississippi. Individual provider, active in the CMS NPPES registry since July 12, 2006.
## Identity
- **NPI:** 1073548350 (Entity type: Individual)
- **Enumerated:** July 12, 2006
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** R858593 (Mississippi)
- **Sole proprietor:** No
## Practice location
- **Address:** 2500 NORTH STATE STREET, DEPARTMENT OF MEDICINE/DIVISION OF CARDIOLOGY, Jackson, MS 39216-4500
- **Phone:** (601) 984-5630
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): State Of Mississippi - University Of Mississippi Medical Center (NPI 1154317527, Jackson, MS); Baptist Jackson Heart Cardiology Clinic-Magee (NPI 1902178346, Jackson, MS) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2002
## Record status
- **NPPES last updated:** October 31, 2023
- **Other identifiers:** Other P01236769 (MS); Medicaid 0126138 (MS); Medicaid 1191396 (LA); and 1 more
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Source: [NPI Profile](https://npiprofile.com/npi/1073548350) · Data from the CMS NPPES public registry.