JACQUELYN MILLER (PA - C) – Medical Physician Assistant, NPI 1649249665
Medical Physician Assistant
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for JACQUELYN MILLER (PA - C)
11970 N CENTRAL EXPY
DALLAS, TX 752433768
Phone: (972) 940-8000
Type: Location
7777 Forest Ln
Dallas, TX 752302571
Phone: (972) 566-7000
Type: Location
1105 Central Expy N
SUITE 120
Allen, TX 750136103
Phone: (972) 727-9995
Fax: (972) 727-8350
Type: Location
Texas Health Allen, 1105, Central Expressway North, Cottonwood Creek, Allen, Collin County, Texas, 75013, United States
SUITE 120
ALLEN, TX 750136103
Phone: (972) 727-9995
Fax: (972) 727-8350
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: 2012-03-28
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20120328000541 | I | Physician Assistant | TX | 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 75243)
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Provider's Procedures
Group practice members
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| - | TX | |
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