Search › Nebraska › 363A00000X
Jacob Miller, PA-C
NPI 1588413074 · on the registry since 2024 · sole proprietor
Practice
- Address
- 16901 Lakeside Hills Ct
Omaha, NE 68130 - Phone
- (402) 398-6161
- Fax
- (402) 398-6982
- Organisation at this address
- Alegent Creighton Health
Omaha Anesthesia Associates Llc
Heartland Anesthesia Services Pc
New Century Physicians Of Nebraska LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 66
Additional practice sites
- 2620 W Faidley Ave, Grand Island, NE
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 363A00000X
- Licence states on file
- NE
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-07-22
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Nebraska