Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jacob A Miller, PA-C

Individual provider Physician Assistant · NPI 1588413074

Jacob A Miller, PA-C is a Physician Assistant in Omaha, Nebraska. Practices as a sole proprietor and works from 2 locations. Licensed in Nebraska.

Licensed in
NE
In the registry since
2024
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

16901 Lakeside Hills Ct
Omaha, NE 68130-2318
Phone: (402) 398-6161
Fax: (402) 398-6982
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2620 W Faidley Ave, Grand Island, NE 68803-4205 — (308) 384-4600

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 3120 (NE)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1588413074
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedMay 16, 2024
Last updated in NPPESJuly 22, 2025
Certification dateJuly 22, 2025

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