MS. JENNIFER LYNN MILLER (D.O.) – Family Medicine Physician, NPI 1790789568

MS. JENNIFER LYNN MILLER (D.O.) is a healthcare provider. based in Grand rapids, Michigan. specializing in Family Medicine Physician. They hold the professional credentials D.O.. They hold a License No. 5101008946 (MI). The NPI Number for MS. JENNIFER LYNN MILLER (D.O.) is 1790789568

Main info

Female
42 Years Of Experience
Accepts Medicare Assignment
Name
MS. JENNIFER LYNN MILLER (D.O.)
NPI
1790789568
Phone
Not provided
Address
100 MICHIGAN ST NE # MC845
Enumeration Date
9 June 2005
Last Update Date
23 May 2022

Doctor Profile

Medical School Name
MICHIGAN COLLEGE OF MEDICINE AND SURGERY
Secondary Phone
2318457380
Graduation Year
1984 (42 years ago)
PAC ID
6608050869
Group Practice PAC ID
3678543659
Professional Enrollment ID
I20110414000192
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for MS. JENNIFER LYNN MILLER (D.O.)

  • 100 MICHIGAN ST NE # MC845

    GRAND RAPIDS, MI 495032560

    Phone:

    Type: Mailing

  • Lawndale Street, Ludington, Pere Marquette Charter Township, Mason County, Michigan, 49431, United States

    LUDINGTON, MI 494311928

    Phone: (231) 845-7380

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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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.

No Medicare enrollment or revalidation data available for this provider in our database.

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 49503)

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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: 3678543659View full group profile
NameSpecialtyState
RANDOLPH JOSEPH III GRIERSON (D.O.)
Orthopedic SurgeryMI
ASHLEIGH ELAINE GRAHAM (PA)
Physician AssistantMI
DR. BRYAN ANTHONY KOVAS (M.D.)
Internal MedicineMI
PERRY JOHN MERILLAT (D.O.)
Orthopedic SurgeryMI
BRENT M JOHNSON (PA)
Physician AssistantMI
BETHANY ANNE HARTRUM (NURSE PRACTITIONER)
Nurse PractitionerMI
CHRISTOPHER MICHAEL BREDE
U R O L O G YMI
DR. AMANDA JO OVERMYER (M.D.)
Family PracticeMI
DANIEL G REUM (DO)
-MI
SONYA C CAMILLI (PA-C)
Physician AssistantMI

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Frequently asked questions

What unique ID ties claims to MS. JENNIFER LYNN MILLER (D.O.)?
NPI 1790789568 is assigned to MS. JENNIFER LYNN MILLER (D.O.) under the national enumeration system.
Is MS. JENNIFER LYNN MILLER (D.O.)'s NPI currently valid?
The extract we use shows MS. JENNIFER LYNN MILLER (D.O.) as active.
What kind of provider is MS. JENNIFER LYNN MILLER (D.O.)?
The page reflects Family Medicine Physician for MS. JENNIFER LYNN MILLER (D.O.). Clinical services aligned with this taxonomy classification.
What location metadata exists for MS. JENNIFER LYNN MILLER (D.O.)?
The page summarizes Grand Rapids, Michigan for MS. JENNIFER LYNN MILLER (D.O.); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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