CMS-1500 Box 24J / 33a • NPI
1811826266
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
364SG0600X (CMS 89)
Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Clinical Nurse Specialist, Gerontology
Box 32 Service Location & ZIP+4
4700 ALLIANCE BLVD, PLANO, TX, 75093-5323
✓ 9-Digit EDI 837 ZIP+4 (75093-5323)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1811826266 (JESSICA MILLER) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Medicare Part B
✓ Eligible
DMEPOS Ordering
✓ Eligible
Home Health (HHA)
✓ Eligible
Power Mobility
✓ Eligible
Hospice Referring
No
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1811826266 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | JESSICA MILLER |
| Plain-English Specialty | Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Clinical Nurse Specialist, Gerontology NUCC Code: 364SG0600X (Clinical Nurse Specialist, Gerontology) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 4700 ALLIANCE BLVD, PLANO, TX, 75093-5323 |
| Practice Telephone / Fax | Tel: (469) 814-5800 |
| Administrative Mailing Address | 14101 GOLDEN BRIDGE DR, PILOT POINT, TX, 76258-2134 |
| Enumeration & Last Sync | Enumerated: 2026-05-13 | CMS Record Updated: 2026-05-18 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (364SG0600X)
What Does Taxonomy Code 364SG0600X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 364SG0600X translates to:
"Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Clinical Nurse Specialist, Gerontology"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (JESSICA MILLER)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
163WG0100X — Registered Nurse, GastroenterologyPlain English: Board-Certified Gastroenterologist (Digestive Tract & Liver Specialist) | State: TX | License: 938223 | Primary: Secondary |
364SG0600X — Clinical Nurse Specialist, GerontologyPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Clinical Nurse Specialist, Gerontology | State: TX | License: 2026001054 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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