ELESA ANN MILLER FNP
NPI 1821328121
Nurse Practitioner in Jackson, TN

Active since January 08, 2010PECOS Enrolled
1004 GREYSTONE SQ, JACKSON, TN 38305(731) 664-1773(731) 664-1751 Get Directions Write a Review

NPPES record last updated: November 5, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 5, 2019, Mar 27, 2018 (2 updates tracked since 2018).

About Elesa Ann Miller Fnp NPPES

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

ELESA ANN MILLER FNP (NPI 1821328121) is an individual nurse practitioner in Jackson, Tennessee, licensed in Tennessee (APN14222) and active in the NPI registry since January 2010. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1821328121
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameELESA ANN MILLERCredential: FNP
Location Address1004 GREYSTONE SQJackson, TN 38305-3580
Mailing Address1367 Rutherford StUnion City, TN 38261-5873 · (731) 286-1900 · Fax (731) 286-1939
Fax(731) 664-1751
Sole ProprietorNo
Enumeration DateJanuary 8, 2010
Last NPPES UpdateNovember 5, 20192 updates tracked since enumeration
NPI 1821328121 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in TN · APN14222
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License 14222 (TN)
1004 GREYSTONE SQ, Jackson, TN 38305

Secondary Practice Locations 2

Location 11445 US Highway 51 Byp EDyersburg, TN 38024-2127 · Phone (731) 286-1900 · Fax (731) 286-1939
Location 2146 Timber Creek Blvd, Suite 200Cordova, TN 38018 · Phone (901) 751-4112 · Fax (901) 751-9878

Other Identifiers 1

Medicaid1518161TN

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Elesa Ann Miller Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38305 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner
1004 GREYSTONE SQ
JACKSON, TN 38305
Orthopaedic Surgery
1004 GREYSTONE SQ
JACKSON, TN 38305
Nurse Practitioner (Family)
1004 GREYSTONE SQ
JACKSON, TN 38305
Clinic/Center (Medical Specialty)
1004 GREYSTONE SQ
JACKSON, TN 38305
Nurse Practitioner (Family)
1004 GREYSTONE SQ
JACKSON, TN 38305

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 Elesa Miller's NPI number?

The NPI number for Elesa Miller is 1821328121. It was assigned to this individual provider in the NPPES registry on January 8, 2010.

Where is Elesa Miller located?

Elesa Miller practices at 1004 Greystone Sq, Jackson, TN 38305. The listed phone number is (731) 664-1773.

What is Elesa Miller's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Elesa Miller enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Elesa Miller was last updated on November 5, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.