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NATALIE MIRANDA
NPI 1033722822
Physician Assistant in Boston, MA

Active since August 31, 2020PECOS Enrolled
55 FRUIT ST # STREET1, BOSTON, MA 02114(617) 643-0045(617) 726-7415 Get Directions Write a Review

NPPES record last updated: January 28, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 28, 2021, Jan 12, 2021, Aug 31, 2020 (3 updates tracked since 2020).

About Natalie Miranda NPPES

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

NATALIE MIRANDA (NPI 1033722822) is an individual physician assistant in Boston, Massachusetts, licensed in Massachusetts (PA7781) and active in the NPI registry since August 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1033722822
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameNATALIE MIRANDA
Location Address55 FRUIT ST # STREET1Boston, MA 02114-2696
Mailing Address35 Henshaw StBrighton, MA 02135-2927 · (860) 483-1633
Phone(617) 643-0045
Fax(617) 726-7415
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateAugust 31, 2020
Last NPPES UpdateJanuary 28, 20213 updates tracked since enumeration
NPPES CertifiedJanuary 28, 2021
✔ NPI 1033722822 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in MA · PA7781
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
55 FRUIT ST # STREET1, Boston, MA 02114
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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)

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

PECOS PAC ID2769899046
PECOS Enrollment IDI20251003001686
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 02114 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
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$78.84 typical visit price
range $21.07 – $155.29
Typical copayment $19.71 (range $5.26 – $38.82)
Most-billed visit code 99213
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 5

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

GABRIELA SORIANO HOBBS MD
Internal Medicine (Hematology & Oncology)
55 FRUIT ST # STREET1
BOSTON, MA 02114
Suffolk County (617) 724-1124
MS. BRIDGET SABINA WULFING PA-C
Physician Assistant
55 FRUIT ST # STREET1
BOSTON, MA 02114
Suffolk County (617) 724-4100
JASON PEDRO SANCHEZ PA-C
Physician Assistant
55 FRUIT ST # STREET1
BOSTON, MA 02114
Suffolk County (617) 724-4100
ELENA ROSE JARDINE PA-C
Physician Assistant
55 FRUIT ST # STREET1
BOSTON, MA 02114
Suffolk County (617) 724-4100
AMY CAMERON
Physician Assistant
55 FRUIT ST # STREET1
BOSTON, MA 02114
Suffolk County (617) 724-4100

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 Natalie Miranda's NPI number?

The NPI number for Natalie Miranda is 1033722822. It was assigned to this individual provider in the NPPES registry on August 31, 2020.

Where is Natalie Miranda located?

Natalie Miranda practices at 55 Fruit St # Street1, Boston, MA 02114. The listed phone number is (617) 643-0045.

What is Natalie Miranda's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Natalie Miranda enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Natalie Miranda was last updated on January 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.