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MIRANDA KAY BERGER NORDELO
NPI 1003445750
Student in an Organized Health Care Education/Training Program in Bayamon, PR

Active since April 05, 2020PECOS Enrolled
58-3 CALLE 50, URB SIERRA BAYAMON, BAYAMON, PR 00961(787) 981-7695 Get Directions Write a Review

NPPES record last updated: April 5, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Miranda Kay Berger Nordelo NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MIRANDA KAY BERGER NORDELO (NPI 1003445750) is an individual student in an organized health care education/training program in Bayamon, Puerto Rico and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS and is a graduate of San Juan Bautista School Of Medicine (2021).

NPPES Registry Identity

NPI1003445750
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMIRANDA KAY BERGER NORDELO
Location Address58-3 CALLE 50, URB SIERRA BAYAMONBayamon, PR 00961
Mailing Address58-3 Calle 50, Urb Sierra BayamonBayamon, PR 00961
Phone(787) 981-7695
Sole ProprietorNo
Medical School CMSSan Juan Bautista School Of MedicineGraduated 2021
Enumeration DateApril 5, 2020
NPPES CertifiedApril 5, 2020
✔ NPI 1003445750 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Miranda Kay Berger Nordelo is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4587122346
PECOS Enrollment IDI20260821001754
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Miranda Berger Nordelo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Board Of Trustees Of The University Of Illinois
Family Medicine
1601 PARKVIEW AVE
Rockford, IL 61107
  • Reassigned Medicare billing, Illinois enrollment
  • 2,127 clinicians in this Medicare group
NPI 1003218348 (815) 395-5637

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Miranda Berger Nordelo's NPI number?

The NPI number for Miranda Berger Nordelo is 1003445750. It was assigned to this individual provider in the NPPES registry on April 5, 2020.

Where is Miranda Berger Nordelo located?

Miranda Berger Nordelo practices at 58-3 Calle 50 Urb Sierra Bayamon, Bayamon, PR 00961. The listed phone number is (787) 981-7695.

What is Miranda Berger Nordelo's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Miranda Berger Nordelo enrolled in Medicare?

Yes. Miranda Berger Nordelo is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Miranda Berger Nordelo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Miranda Berger Nordelo reassigns Medicare benefits to Board Of Trustees Of The University Of Illinois (Rockford, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Miranda Berger Nordelo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Miranda Berger Nordelo was last updated on April 5, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.