DR. MIRANDA EFUA WELLINGTON M.D.
NPI 1124314737
Family Medicine in Grand Prairie, TX
About Dr. Miranda Efua Wellington M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MIRANDA EFUA WELLINGTON M.D. (NPI 1124314737) is an individual family medicine provider in Grand Prairie, Texas, licensed in Texas (Q1768) and active in the NPI registry since June 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2011).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Miranda Efua Wellington M.d. 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.
Medicare Billing Reassignments
2Medicare enrollment records show Miranda Wellington reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Colleyville, TX 76034
- Reassigned Medicare billing, Texas enrollment
- 3,167 clinicians in this Medicare group
Fairfax, VA 22033
- Reassigned Medicare billing, District of Columbia and Maryland enrollments
- Also billed through NPI 1285752121 (Maryland)
- 2,492 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 4
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 75052 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 15
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
GRAND PRAIRIE, TX 75052
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 Wellington's NPI number?
The NPI number for Miranda Wellington is 1124314737. It was assigned to this individual provider in the NPPES registry on June 22, 2011.
Where is Miranda Wellington located?
Miranda Wellington practices at 4927 Lake Ridge Pkwy Suite 100, Grand Prairie, TX 75052. The listed phone number is (972) 641-9000.
What is Miranda Wellington's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Miranda Wellington enrolled in Medicare?
Yes. Miranda Wellington 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.
Which organizations bill Medicare for Miranda Wellington's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Miranda Wellington reassigns Medicare benefits to 2 organizations: Healthtexas Provider Network (Colleyville, TX) and Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc (Fairfax, VA). 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 Wellington's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Miranda Wellington was last updated on June 10, 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.
# Dr. Miranda Efua Wellington, M.D. · NPI 1124314737
Family Medicine physician in Grand Prairie, Texas. Individual provider, active in the CMS NPPES registry since June 22, 2011.
## Identity
- **NPI:** 1124314737 (Entity type: Individual)
- **Enumerated:** June 22, 2011
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** Q1768 (Texas)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 4927 LAKE RIDGE PKWY, SUITE 100, Grand Prairie, TX 75052-3087
- **Phone:** (972) 641-9000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Healthtexas Provider Network (NPI 1235135906, Colleyville, TX); Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc (NPI 1215058326, Fairfax, VA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2011
## Record status
- **NPPES last updated:** June 10, 2021
---
Source: [NPI Profile](https://npiprofile.com/npi/1124314737) · Data from the CMS NPPES public registry.