MIRANDA NICOLE SHUMATE
NPI 1073161667
Social Worker - Clinical in Denver, CO

Q: What is Miranda Shumate's NPI number?

The NPI number for Miranda Shumate is 1073161667. It was assigned to this individual provider in the NPPES registry on August 28, 2019.

Q: What is Miranda Shumate's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Q: When was this NPI record last updated?

The NPPES record for Miranda Shumate was last updated on August 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since August 28, 2019PECOS Enrolled

2100 N BROADWAY, DENVER, CO 80205(303) 293-2220 Get Directions Write a Review

NPPES record last updated: August 9, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 9, 2022, Jan 25, 2022, Oct 22, 2020 and 1 more (4 updates tracked since 2019).

On this page

About Miranda Nicole Shumate NPPES

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

MIRANDA NICOLE SHUMATE (NPI 1073161667) is an individual clinical provider in Denver, Colorado, licensed in Colorado (CSW.09926723) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Denver, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1073161667

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameMIRANDA NICOLE SHUMATE

Location Address2100 N BROADWAYDenver, CO 80205-2526

Mailing Address2111 Champa StDenver, CO 80205-2529

Phone(303) 293-2220

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateAugust 28, 2019

Last NPPES UpdateAugust 9, 20224 updates tracked since enumeration

NPPES CertifiedAugust 9, 2022

✔ NPI 1073161667 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

Licenses✔ Licensed in CO · CSW.09926723✔ Licensed in IL · 149.020460

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

2100 N BROADWAY, Denver, CO 80205

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Secondary Practice Location 1

Location 12590 Welton St Ste 200Denver, CO 80205-4268 · Phone (312) 361-0834

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company, Select Health.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 Nicole Shumate is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID446643019

PECOS Enrollment IDI20251020000189, I20251119001262

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

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

Sondermind Provider Network LLC

0.6 mi

Clinical

1738 WYNKOOP ST STE 303
Denver, CO 80202

Reassigned Medicare billing, Colorado enrollment
940 clinicians in this Medicare group

NPI 1760854442 (844) 843-7279

Truecare24 Physicians Group, S.C.

9.8 mi

Clinical

7900 E UNION AVE STE 1100
Denver, CO 80237

Reassigned Medicare billing, Colorado enrollment
13 clinicians in this Medicare group

NPI 1710560545 (206) 738-4179

Sondermind PC

925 mi

Clinical

6203 SAN IGNACIO AVE STE 110
San Jose, CA 95119

Reassigned Medicare billing, Illinois enrollment
106 clinicians in this Medicare group

NPI 1003646977 (844) 843-7279

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 80205 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

$0.00 typical visit price

range $58.06 – $174.82

Typical copayment $0.00 (range $14.51 – $43.70)

Most-billed visit code NA

Established Patient

$72.20 typical visit price

range $18.88 – $142.79

Typical copayment $18.05 (range $4.72 – $35.69)

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 18

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

MRS. TRACI GISELLE PERG RN

Registered Nurse (Psychiatric/Mental Health)