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

Jessica Miller

Individual provider Physician Assistant · NPI 1609442755

Jessica Miller is a Physician Assistant in Dodge City, Kansas. Qualified in 2021, 5 years ago. Practices with Commonspirit Kansas Inc, a 68-clinician group and accepts Medicare assignment. Licensed in Kansas.

Years since qualifying
5
Licensed in
KS
In the registry since
2021
Specialties on file
2

Practice location Address checks out

112 W Ross Blvd Ste C
Dodge City, KS 67801-7220
Phone: (620) 371-6900
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 15-02527 (KS)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1609442755
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 30, 2021
Last updated in NPPESAugust 25, 2022
Certification dateAugust 25, 2022
Mailing address204 Plaza Ave, Dodge City, KS 67801-2724

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Commonspirit Kansas Inc — 68 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Dodge City