Kimberly W Miller, FNP - Medicare Nurse Practitioner in Jackson, MS

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Kimberly W Miller, FNP is a medicare enrolled "Nurse Practitioner" physician in Jackson, Mississippi. She graduated from medical school in 2002 and has 22 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Medical Foundation Of Central Mississippi Inc, State Of Mississippi - University Of Mississippi Medical Center and her current practice location is 2500 North State Street, Department Of Medicine/division Of Cardiology, Jackson, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 984-5630.

Kimberly W Miller is licensed to practice in Mississippi (license number R858593) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1073548350.

Contact Information

Kimberly W Miller, FNP
2500 North State Street, Department Of Medicine/division Of Cardiology,
Jackson, MS 39216-4500
(601) 984-5630
Not Available

Map and Direction




Physician's Profile

Full NameKimberly W Miller
GenderFemale
SpecialityNurse Practitioner
Experience22 Years
Location2500 North State Street, Jackson, Mississippi
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kimberly W Miller graduated from medical school in 2002
  NPI Data:
  • NPI Number: 1073548350
  • Provider Enumeration Date: 07/12/2006
  • Last Update Date: 10/31/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 1850480724
  • Enrollment ID: I20071129000377

Medical Identifiers

Medical identifiers for Kimberly W Miller such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073548350NPI-NPPES
P01236769OtherMSRAILROAD MEDICARE PTAN
0126138MedicaidMS
1191396MedicaidLA
RR 500030301OtherMSRAILROAD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RC0000XInternal Medicine - Cardiovascular Disease R858593 (Mississippi)Secondary
363L00000XNurse Practitioner R858593 (Mississippi)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
University Of Mississippi Med CenterJackson, MSHospital
Mississippi Baptist Medical CenterJackson, MSHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Medical Foundation Of Central Mississippi Inc1153216411236
State Of Mississippi - University Of Mississippi Medical Center1850293036782

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kimberly W Miller allows following entities to bill medicare on her behalf.
Entity NameMedical Foundation Of Central Mississippi Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1992774814
PECOS PAC ID: 1153216411
Enrollment ID: O20040217000380
Entity NameState Of Mississippi - University Of Mississippi Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154317527
PECOS PAC ID: 1850293036
Enrollment ID: O20090414000575

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kimberly W Miller is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kimberly W Miller, FNP
2500 North State Street,
Jackson, MS 39216-4500

Ph: (601) 984-5678		Kimberly W Miller, FNP
2500 North State Street, Department Of Medicine/division Of Cardiology,
Jackson, MS 39216-4500

Ph: (601) 984-5630

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.