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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: August 02, 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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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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 IDI20260608001047
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.

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
DEVON NICOLE ANDERSON 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

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.

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 3 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.