DR. JASON JOSEPH MIILLER (MD) – Child & Adolescent Psychiatry Physician, NPI 1699069138
Child & Adolescent Psychiatry Physician
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Profile Insights
NPPES metrics only — not quality of care.
819 PSYCHIATRY in MO
Provider Addresses for DR. JASON JOSEPH MIILLER (MD)
3 Hospital Dr
Columbia, MO 652120001
Phone: (573) 882-8913
Fax: (573) 884-1070
Type: Location
307 N Main St
Windsor, MO 653601449
Phone: (844) 853-8937
Type: Location
6500 Byron Center Ave SW
Byron Center, MI 493159080
Phone: (616) 281-6311
Type: Location
21809 W 95TH TER
LENEXA, KS 662209758
Phone: (763) 258-7760
Type: Mailing
300 68TH ST SE
GRAND RAPIDS, MI 495486927
Phone: (616) 455-5000
Type: Mailing
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.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-08-19
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 5 Medicare enrollment records; no due dates published yet.
Enrollment records
5
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20150314000221 | I | Psychiatry | IA | TBD |
| I20181228000161 | I | Psychiatry | MO | TBD |
| I20220728002702 | I | Psychiatry | IL | TBD |
| I20221214000021 | I | Psychiatry | TX | TBD |
| I20250819004529 | I | Psychiatry | MI | TBD |
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.
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 65212)
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