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MIRANDA MAE PICKENS FNP
NPI 1093488322
Nurse Practitioner - Family in Sullivan, MO

Active since August 02, 2021PECOS EnrolledAccepts Medicare Assignment
1326 S SERVICE RD W, SULLIVAN, MO 63080(578) 468-4455 Get Directions Write a Review

NPPES record last updated: August 2, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Miranda Mae Pickens Fnp NPPES

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

MIRANDA MAE PICKENS FNP (NPI 1093488322) is an individual family provider in Sullivan, Missouri, licensed in Missouri (2021026494) and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS, is affiliated with Mercy Hospital Washington, and is a graduate of University Of Missouri, Columbia School Of Medicine (2021).

NPPES Registry Identity

NPI1093488322
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMIRANDA MAE PICKENSCredential: FNP
Location Address1326 S SERVICE RD WSullivan, MO 63080-2306
Mailing Address1788 Pottery RdWashington, MO 63090-4189 · (636) 358-2887
Phone(578) 468-4455
Sole ProprietorNo
Medical School CMSUniversity Of Missouri, Columbia School Of MedicineGraduated 2021
Enumeration DateAugust 2, 2021
NPPES CertifiedAugust 2, 2021
✔ NPI 1093488322 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MO · 2021026494
1326 S SERVICE RD W, Sullivan, MO 63080
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Medica, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Miranda Mae Pickens Fnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3870990096
PECOS Enrollment IDI20210930000458
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
22 services18 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
17 services14 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mercy Hospital Washington

Acute Care Hospitals · Washington, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260052
Location901 East 5th StreetWashington, MO 63090 · Franklin County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63080 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
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$93.24 typical visit price
range $16.30 – $131.05
Typical copayment $23.31 (range $4.07 – $32.76)
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.

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 Pickens's NPI number?

The NPI number for Miranda Pickens is 1093488322. It was assigned to this individual provider in the NPPES registry on August 2, 2021.

Where is Miranda Pickens located?

Miranda Pickens practices at 1326 S Service Rd W, Sullivan, MO 63080. The listed phone number is (578) 468-4455.

What is Miranda Pickens's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Miranda Pickens enrolled in Medicare?

Yes. Miranda Pickens is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Miranda Pickens accept?

Health plans from Anthem Blue Cross and Blue Shield, Medica and UnitedHealthcare list Miranda Pickens 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.

Is Miranda Pickens affiliated with any hospitals?

According to CMS data, Miranda Pickens is affiliated with Mercy Hospital Washington.

When was this NPI record last updated?

The NPPES record for Miranda Pickens was last updated on August 2, 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.