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JACOB MILLER
NPI 1083308605
Physician Assistant in Fort Drum, NY

Active since June 06, 2023
11050 MT BELVEDERE BLVD, FORT DRUM, NY 13602(315) 772-2729 Get Directions Write a Review

NPPES record last updated: August 25, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 16, 2024, Jun 6, 2023 (2 updates tracked since 2023).

About Jacob Miller NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACOB MILLER (NPI 1083308605) is an individual physician assistant in Fort Drum, New York and active in the NPI registry since June 2023.

NPPES Registry Identity

NPI1083308605
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJACOB MILLER
Location Address11050 MT BELVEDERE BLVDFort Drum, NY 13602-2603
Mailing Address11050 Mt Belvedere BlvdFort Drum, NY 13602-2603 · (315) 772-2729
Phone(315) 772-2729
Sole ProprietorYes
Enumeration DateJune 6, 2023
Last NPPES UpdateAugust 25, 20252 updates tracked since enumeration
NPPES CertifiedAugust 25, 2025
✔ NPI 1083308605 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
11050 MT BELVEDERE BLVD, Fort Drum, NY 13602
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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.

DR. MICHAEL HARRIS CARPENTER M.D.
Pediatrics
11050 MT BELVEDERE BLVD
FORT DRUM, NY 13602
Jefferson County (315) 772-7730
DR. ELIZABETH DUQUE M.D.
Family Medicine
11050 MT BELVEDERE BLVD
FORT DRUM, NY 13602
Jefferson County (888) 838-1303
PATRICK ALLEN CLAPP PA-C
Physician Assistant
11050 MT BELVEDERE BLVD
FORT DRUM, NY 13602
Jefferson County (315) 772-5516
KEVIN LEE LAROSE PHYSICIAN ASSISTANT
Physician Assistant
11050 MT BELVEDERE BLVD
FORT DRUM, NY 13602
Jefferson County (315) 772-2778
DEEANN STALVEY
Psychologist
11050 MT BELVEDERE BLVD
FORT DRUM, NY 13602
Jefferson County (701) 367-0584
AMBER DONN CANTEY DPT
Physical Therapist
11050 MT BELVEDERE BLVD
FORT DRUM, NY 13602
Jefferson County (210) 419-1874
JEREMIAH C CLESTER PA-C
Physician Assistant
11050 MT BELVEDERE BLVD
FORT DRUM, NY 13602
Jefferson County (315) 772-2778
DUSTEN GREEN DSW,LCSW, CASAC
Social Worker
11050 MT BELVEDERE BLVD
FORT DRUM, NY 13602
Jefferson County (315) 772-2778

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 Jacob Miller's NPI number?

The NPI number for Jacob Miller is 1083308605. It was assigned to this individual provider in the NPPES registry on June 6, 2023.

Where is Jacob Miller located?

Jacob Miller practices at 11050 Mt Belvedere Blvd, Fort Drum, NY 13602. The listed phone number is (315) 772-2729.

What is Jacob Miller's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Jacob Miller was last updated on August 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.