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MRS. LISA M MIRANDA P.A.-C
NPI 1144314766
Physician Assistant in Roseville, CA

Active since October 03, 2006PECOS EnrolledAccepts Medicare Assignment
568 N SUNRISE AVE STE 250, ROSEVILLE, CA 95661(916) 865-1140 Get Directions Write a Review

NPPES record last updated: March 6, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Lisa M Miranda P.a.-c NPPES

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

MRS. LISA M MIRANDA P.A.-C (NPI 1144314766) is an individual physician assistant in Roseville, California, licensed in California (PA15570) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS, maintains a secondary practice location in Cleveland, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1144314766
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMRS. LISA M MIRANDACredential: P.A.-C
Location Address568 N SUNRISE AVE STE 250Roseville, CA 95661
Mailing Address10470 Old Placerville Rd Ste 100Sacramento, CA 95827-2539 · (800) 470-0071
Phone(916) 865-1140
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateOctober 3, 2006
Last NPPES UpdateMarch 6, 2019
✔ NPI 1144314766 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CA · PA15570
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License PA1051 (TN)
568 N SUNRISE AVE STE 250, Roseville, CA 95661
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Secondary Practice Location 1

Location 12121 NORTH OCOEE STREET, SUITE 101CLEVELAND, TN 37311 · Phone (423) 472-6548 · Fax (423) 472-8318

Other Identifiers 7

Other621038898TN · Tax Id
OtherFP62706TN · Workers Comp
Other0140208TN · United Healthcare
Other2000307TN · Bcbs Of Tn
Medicaid3661837TN
OtherTN0102TN · John Deere
Other970027904TN · Railroad Medicare

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

Mrs. Lisa M Miranda P.a.-c 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 ID3274436357
PECOS Enrollment IDI20040127001246
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 5

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.
245 services105 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.
28 services26 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
18 services17 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
15 services15 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95661 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
$92.61 typical visit price
range $60.44 – $180.85
Typical copayment $23.15 (range $15.11 – $45.21)
Most-billed visit code 99203
Established Patient
$75.03 typical visit price
range $19.88 – $148.15
Typical copayment $18.75 (range $4.97 – $37.03)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier11 claims11 services$215.40 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

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

NOMAN GHIASI MD
Family Medicine
568 N SUNRISE AVE STE 250
ROSEVILLE, CA 95661
Placer County (916) 865-1140
JENNIFER GREGG MD
Family Medicine
568 N SUNRISE AVE STE 250
ROSEVILLE, CA 95661
Placer County (916) 865-1140
MADHUPREET HANS DO
Family Medicine
568 N SUNRISE AVE STE 250
ROSEVILLE, CA 95661
Placer County (916) 865-1140
DR. JOHN KUDREYKO III PT,DPT,CSCS
Physical Therapist (Orthopedic)
568 N SUNRISE AVE STE 250
ROSEVILLE, CA 95661
Placer County (916) 865-1100

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 Lisa Miranda's NPI number?

The NPI number for Lisa Miranda is 1144314766. It was assigned to this individual provider in the NPPES registry on October 3, 2006.

Where is Lisa Miranda located?

Lisa Miranda practices at 568 N Sunrise Ave Ste 250, Roseville, CA 95661. The listed phone number is (916) 865-1140.

What is Lisa Miranda's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Lisa Miranda enrolled in Medicare?

Yes. Lisa Miranda 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 Lisa Miranda was last updated on March 6, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.