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MIRANDA DIANNE BALLARD FNP-BC
NPI 1144086109
Nurse Practitioner in Thousand Oaks, CA

Active since February 26, 2024PECOS EnrolledAccepts Medicare Assignment
215 W JANSS RD, THOUSAND OAKS, CA 91360(805) 370-4435 Get Directions Write a Review

NPPES record last updated: February 26, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Miranda Dianne Ballard Fnp-bc NPPES

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

MIRANDA DIANNE BALLARD FNP-BC (NPI 1144086109) is an individual nurse practitioner in Thousand Oaks, California, licensed in California (95029217) and active in the NPI registry since February 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1144086109
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMIRANDA DIANNE BALLARDCredential: FNP-BC
Location Address215 W JANSS RDThousand Oaks, CA 91360-1847
Mailing Address2116 Vanguard DrCamarillo, CA 93010-2132 · (805) 233-0242
Phone(805) 370-4435
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateFebruary 26, 2024
NPPES CertifiedFebruary 26, 2024
✔ NPI 1144086109 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in CA · 95029217
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
215 W JANSS RD, Thousand Oaks, CA 91360
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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 and accepts Medicare assignment

Miranda Dianne Ballard Fnp-bc 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 ID8325487267
PECOS Enrollment IDI20240411003982
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 3

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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
39 services36 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
17 services17 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
15 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91360 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
$95.28 typical visit price
range $62.32 – $185.36
Typical copayment $23.82 (range $15.58 – $46.34)
Most-billed visit code 99203
Established Patient
$108.74 typical visit price
range $20.68 – $151.85
Typical copayment $27.18 (range $5.17 – $37.96)
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.

LOS ROBLES RADIOLOGIC ASSOCIATES
Radiology (Diagnostic Radiology)
215 W JANSS RD
THOUSAND OAKS, CA 91360
Ventura County (054) 972-7278
DR. NUSAYBA MANAL AHMED MD
Student in an Organized Health Care Education/Training Program
215 W JANSS RD
THOUSAND OAKS, CA 91360
Ventura County (805) 852-9229
DANIELLE ASHLEY SHERMAN
Physician Assistant
215 W JANSS RD
THOUSAND OAKS, CA 91360
Ventura County (805) 497-2727
MARIA DUBOVITSKAYA MD
Student in an Organized Health Care Education/Training Program
215 W JANSS RD
THOUSAND OAKS, CA 91360
Ventura County (805) 852-9229
SUKHWINDER SINGH DHILLON
Student in an Organized Health Care Education/Training Program
215 W JANSS RD
THOUSAND OAKS, CA 91360
Ventura County (805) 852-9229
ALEEN SISAKIAN MD
Student in an Organized Health Care Education/Training Program
215 W JANSS RD
THOUSAND OAKS, CA 91360
Ventura County (805) 852-9229
YASH PATIL DO
Student in an Organized Health Care Education/Training Program
215 W JANSS RD
THOUSAND OAKS, CA 91360
Ventura County (805) 852-9229
DR. ERNA M. KWONG M.D.
Anesthesiology
215 W JANSS RD
THOUSAND OAKS, CA 91360
Ventura County (805) 497-2727

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 Ballard's NPI number?

The NPI number for Miranda Ballard is 1144086109. It was assigned to this individual provider in the NPPES registry on February 26, 2024.

Where is Miranda Ballard located?

Miranda Ballard practices at 215 W Janss Rd, Thousand Oaks, CA 91360. The listed phone number is (805) 370-4435.

What is Miranda Ballard's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Miranda Ballard enrolled in Medicare?

Yes. Miranda Ballard 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.

When was this NPI record last updated?

The NPPES record for Miranda Ballard was last updated on February 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.