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MIRANDA EDEN DAVIS PMHNP
NPI 1013850551
Nurse Practitioner - Psychiatric/Mental Health in Grand Forks, ND

Active since April 10, 2026PECOS Enrolled
3674 S WASHINGTON ST, GRAND FORKS, ND 58201(701) 205-3000(701) 732-2501 Get Directions Write a Review

NPPES record last updated: April 10, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Miranda Eden Davis Pmhnp NPPES

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

MIRANDA EDEN DAVIS PMHNP (NPI 1013850551) is an individual psychiatric/mental health provider in Grand Forks, North Dakota, licensed in Kentucky (4052852) and active in the NPI registry since April 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1013850551
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMIRANDA EDEN DAVISCredential: PMHNP
Location Address3674 S WASHINGTON STGrand Forks, ND 58201-5766
Mailing AddressPo Box 5210Grand Forks, ND 58206-5210
Phone(701) 205-3000
Fax(701) 732-2501
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateApril 10, 2026
NPPES CertifiedApril 10, 2026
✔ NPI 1013850551 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in KY · 4052852
3674 S WASHINGTON ST, Grand Forks, ND 58201
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of North Dakota, HealthPartners.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Miranda Eden Davis Pmhnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6901377233
PECOS Enrollment IDI20260615001925
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 Reassignments

3

Medicare enrollment records show Miranda Davis reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Peterson Medical Clinics, LLC
Same address
Multi-Specialty
3674 S WASHINGTON ST
Grand Forks, ND 58201
  • Reassigned Medicare billing, Alaska, Kentucky, Minnesota and North Dakota enrollments
  • 70 clinicians in this Medicare group
NPI 1699295774 (701) 205-3000
Yukon Kuskokwim Health Corporation
2,556 mi
Health Service
10 MORGAN ROAD, ANIAK SUBREGIONAL CLINIC
Aniak, AK 99557
  • Reassigned Medicare billing, Texas enrollment
  • 29 clinicians in this Medicare group
NPI 1689857658 (907) 543-6000
Norton Sound Health Corporation
2,709 mi
Critical Access
1000 GREG KRUSCHEK AVE
Nome, AK 99762
  • Reassigned Medicare billing, Alaska enrollment
  • Also billed through NPI 1225101041 (Alaska)
  • 193 clinicians in this Medicare group
NPI 1154358232 (907) 443-3311

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 58201 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.71 typical visit price
range $55.75 – $168.12
Typical copayment $21.42 (range $13.93 – $42.03)
Most-billed visit code 99203
Established Patient
$98.29 typical visit price
range $18.11 – $137.65
Typical copayment $24.57 (range $4.52 – $34.41)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHERBIE DARBOUZE PA-C
Physician Assistant
3674 S WASHINGTON ST
GRAND FORKS, ND 58201
Grand Forks County (701) 205-3000
MRS. REBECCA LYNNE OHLSON LCSW
Social Worker (Clinical)
3674 S WASHINGTON ST
GRAND FORKS, ND 58201
Grand Forks County (701) 205-3000
JALISA GILES LCSW
Social Worker (Clinical)
3674 S WASHINGTON ST
GRAND FORKS, ND 58201
Grand Forks County (701) 205-3000
GWEN LOTTA LCSW
Social Worker (Clinical)
3674 S WASHINGTON ST
GRAND FORKS, ND 58201
Grand Forks County (701) 205-3000
ASHLEY R STOWELL
Social Worker (Clinical)
3674 S WASHINGTON ST
GRAND FORKS, ND 58201
Grand Forks County (701) 205-3000
CHERYL TREDWAY LPCC, LCPC
Counselor (Professional)
3674 S WASHINGTON ST
GRAND FORKS, ND 58201
Grand Forks County (701) 205-3000
KELE FERREIRA PA-C
Physician Assistant
3674 S WASHINGTON ST
GRAND FORKS, ND 58201
Grand Forks County (701) 205-3000
NICOLE ANNE R GADON PA-C
Physician Assistant
3674 S WASHINGTON ST
GRAND FORKS, ND 58201
Grand Forks County (701) 205-3000

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 Davis's NPI number?

The NPI number for Miranda Davis is 1013850551. It was assigned to this individual provider in the NPPES registry on April 10, 2026.

Where is Miranda Davis located?

Miranda Davis practices at 3674 S Washington St, Grand Forks, ND 58201. The listed phone number is (701) 205-3000.

What is Miranda Davis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Miranda Davis enrolled in Medicare?

Yes. Miranda Davis is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Miranda Davis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Miranda Davis reassigns Medicare benefits to 3 organizations: Peterson Medical Clinics, LLC (Grand Forks, ND), Yukon Kuskokwim Health Corporation (Aniak, AK) and Norton Sound Health Corporation (Nome, AK). Each 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 Davis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Miranda Davis accept?

Health plans from Blue Cross Blue Shield of North Dakota and HealthPartners list Miranda Davis as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Miranda Davis was last updated on April 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.