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JESSE GLENN MILLER DC
NPI 1720170517
Chiropractor in Muskogee, OK

Active since September 29, 2006
300 W SHAWNEE ST STE B, MUSKOGEE, OK 74401(918) 683-9777(918) 683-9778 Get Directions Write a Review

NPPES record last updated: October 2, 2014. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Jesse Glenn Miller Dc NPPES

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

JESSE GLENN MILLER DC (NPI 1720170517) is an individual chiropractor in Muskogee, Oklahoma, licensed in Oklahoma (3042) and active in the NPI registry since September 2006. He is a graduate of Other (1984).

NPPES Registry Identity

NPI1720170517
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameJESSE GLENN MILLERCredential: DC
Location Address300 W SHAWNEE ST STE BMuskogee, OK 74401-4151
Mailing Address300 W Shawnee St Ste BMuskogee, OK 74401-4151 · (918) 683-9777 · Fax (918) 683-9778
Phone(918) 683-9777
Fax(918) 683-9778
Sole ProprietorNo
Medical School CMSOtherGraduated 1984
Enumeration DateSeptember 29, 2006
Last NPPES UpdateOctober 2, 2014
✔ NPI 1720170517 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in OK · 3042
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
300 W SHAWNEE ST STE B, Muskogee, OK 74401
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Other Identifiers 2

Medicaid100830610AOK
Medicare PINOK402576

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jesse Glenn Miller Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1153323456
PECOS Enrollment IDI20070214000345

Medicare Billing Reassignment

Medicare enrollment records show Jesse Miller reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Miller Chiropractic Clinic, PLLC
Same address
Chiropractor
300B W SHAWNEE ST
Muskogee, OK 74401
  • Reassigned Medicare billing, Oklahoma enrollment
NPI 1003110438 (918) 683-9777

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

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.

Chiropractic manipulative treatment, 1-2 spinal regions 98940
Chiropractic manipulative treatment focuses on adjusting your spine to improve your body's physical function. In this service, a chiropractor applies controlled force to 1-2 spinal regions. This helps to restore mobility and alleviate discomfort in those areas.
789 services129 patients

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 Jesse Miller's NPI number?

The NPI number for Jesse Miller is 1720170517. It was assigned to this individual provider in the NPPES registry on September 29, 2006.

Where is Jesse Miller located?

Jesse Miller practices at 300 W Shawnee St Ste B, Muskogee, OK 74401. The listed phone number is (918) 683-9777.

What is Jesse Miller's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Jesse Miller enrolled in Medicare?

Yes. Jesse Miller is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jesse Miller's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jesse Miller reassigns Medicare benefits to Miller Chiropractic Clinic, PLLC (Muskogee, OK). The 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 Jesse Miller's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jesse Miller was last updated on October 2, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.