DR. JACKLYN ANNE MILLER (AU.D.) – Audiologist, NPI 1114301579

DR. JACKLYN ANNE MILLER (AU.D.) is a healthcare provider. based in Dewitt, Michigan. specializing in QUALIFIED AUDIOLOGIST. They hold the professional credentials AU.D.. They hold a License No. 1601000710 (MI). The NPI Number for DR. JACKLYN ANNE MILLER (AU.D.) is 1114301579

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
DR. JACKLYN ANNE MILLER (AU.D.)
NPI
1114301579
Phone
(517) 669-8080
Address
12775 ESCANABA DR
Enumeration Date
16 July 2015
Last Update Date
15 August 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5176698080
Graduation Year
2015 (11 years ago)
PAC ID
5193030104
Group Practice PAC ID
2466594296
Professional Enrollment ID
I20150820010528
Address ID
MI488208615DE12775DRXX302
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:10State licenses:1Digital endpointsOther names

302 QUALIFIED AUDIOLOGIST in MI

Provider Addresses for DR. JACKLYN ANNE MILLER (AU.D.)

  • 12775 ESCANABA DR

    DEWITT, MI 488208615

    Phone: (517) 669-8080

    Fax: (517) 669-8070

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2015-08-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20150820010528IQualified AudiologistMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92557Comprehensive hearing and speech recognition test4039$0
92588Placement of ear probe for computerized measurement of repeated sounds with interpretation and report2020$0
92567Test to assess middle ear function1919$0
92570Comprehensive hearing test1717$0
92504Exam of ear using a microscope1413$0
View full utilization report →

Insurance plans in this area (ZIP 48820)

Loading plans...

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2466594296View full group profile
NameSpecialtyState
Qualified AudiologistMI

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Is DR. JACKLYN ANNE MILLER (AU.D.) listed with a National Provider Identifier?
Yes — DR. JACKLYN ANNE MILLER (AU.D.) has NPI 1114301579 on file in the registry.
Would DR. JACKLYN ANNE MILLER (AU.D.) appear as active to a payer?
You can treat DR. JACKLYN ANNE MILLER (AU.D.) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to DR. JACKLYN ANNE MILLER (AU.D.)?
DR. JACKLYN ANNE MILLER (AU.D.)'s specialty line reads Audiologist. Clinical services aligned with this taxonomy classification.
Where in Michigan is DR. JACKLYN ANNE MILLER (AU.D.) registered?
Use Dewitt, Michigan as the headline location for DR. JACKLYN ANNE MILLER (AU.D.) here.
Does DR. JACKLYN ANNE MILLER (AU.D.) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

Similar Providers

511, Renaissance Drive, Saint Joseph, Berrien County, Michigan, 49085, United States
NPI: 1811991771
1701 MENTOR AVE STE 5
NPI: 1285630046
South State Street, Ann Arbor, Washtenaw County, Michigan, 48108-1774, United States
NPI: 1750389136
601 N Caroline St
NPI: 1265433221
4175, North Euclid Avenue, City of Bay City, Bangor Township, Bay County, Michigan, 48706, United States
NPI: 1730170218
Oakland Drive, Kalamazoo, Kalamazoo County, Michigan, 49024, United States
NPI: 1164406955

MRS. TINA M HOWARD-PALMER (AUDIOLOGIST CCC-A)

Audiologist-Hearing Aid Fitter
727, Dwillard Drive, Eastwood, Kalamazoo Charter Township, Kalamazoo County, Michigan, 49048, United States
NPI: 1134109036