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

Jacqueline Mills, JACQUELINEMILLS

Individual provider Physician Assistant · NPI 1942559703

Jacqueline Mills, JACQUELINEMILLS is a Physician Assistant in Jbsa Randolph, Texas. Qualified in 2014, 12 years ago. Practices with Indiemd Tx Management LLC, a 20-clinician group and accepts Medicare assignment.

Years since qualifying
12
In the registry since
2012
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Practice location Address checks out

550 C St W Bldg 492
Jbsa Randolph, TX 78150-4702
Phone: (210) 322-0105
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1942559703
Entity typeIndividual (Type 1)
GenderFemale
Credentials JACQUELINEMILLS
Sole proprietorNo
NPI enumeratedSeptember 6, 2012
Last updated in NPPESNovember 22, 2022
Certification dateNovember 22, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Indiemd Tx Management Llc — 20 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Jbsa Randolph