MIRANDA DIANNE BALLARD FNP-BC
NPI 1144086109
Nurse Practitioner in Thousand Oaks, CA
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
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
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.
Medicare Billing Reassignments
4Medicare enrollment records show Miranda Ballard reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Thousand Oaks, CA 91360
- Reassigned Medicare billing, California enrollment
- 70 clinicians in this Medicare group
Simi Valley, CA 93065
- Reassigned Medicare billing, California enrollment
- 33 clinicians in this Medicare group
Delano, CA 93215
- Reassigned Medicare billing, California enrollment
- 301 clinicians in this Medicare group
San Jose, CA 95119
- Reassigned Medicare billing, California enrollment
- 93 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 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.
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.
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.
THOUSAND OAKS, CA 91360
THOUSAND OAKS, CA 91360
THOUSAND OAKS, CA 91360
THOUSAND OAKS, CA 91360
THOUSAND OAKS, CA 91360
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.
Which organizations bill Medicare for Miranda Ballard's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Miranda Ballard reassigns Medicare benefits to 4 organizations: Los Robles Emergency Physicians Medical Group (Thousand Oaks, CA), Synergy Observation Specialists PC (Simi Valley, CA), Team Physicians Of California Medical Group Inc (Delano, CA) and Sondermind Professional Clinical Counselor, PC (San Jose, CA). 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 Ballard'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 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.
# Miranda Dianne Ballard, FNP-BC · NPI 1144086109
Nurse Practitioner physician in Thousand Oaks, California. Individual provider, active in the CMS NPPES registry since February 26, 2024.
## Identity
- **NPI:** 1144086109 (Entity type: Individual)
- **Enumerated:** February 26, 2024
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 95029217 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 215 W JANSS RD, Thousand Oaks, CA 91360-1847
- **Phone:** (805) 370-4435
## 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:** 4 organizations under Medicare reassignment (form CMS-855R): Los Robles Emergency Physicians Medical Group (NPI 1417983552, Thousand Oaks, CA); Synergy Observation Specialists PC (NPI 1023773587, Simi Valley, CA); Team Physicians Of California Medical Group Inc (NPI 1447288345, Delano, CA); Sondermind Professional Clinical Counselor, PC (NPI 1598629362, San Jose, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** February 26, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1144086109) · Data from the CMS NPPES public registry.