MIRANDA KELLY DNP, APRN, ACNP-BC
NPI 1144588757
Nurse Practitioner - Acute Care in Shenandoah, TX

Q: What is Miranda Kelly's NPI number?

The NPI number for Miranda Kelly is 1144588757. It was assigned to this individual provider in the NPPES registry on May 2, 2012.

Q: What is Miranda Kelly's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Q: When was this NPI record last updated?

The NPPES record for Miranda Kelly was last updated on December 10, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 02, 2012PECOS Enrolled

9250 PINECROFT DR, SHENANDOAH, TX 77380(713) 897-2332 Get Directions Write a Review

NPPES record last updated: December 10, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

On this page

About Miranda Kelly Dnp, Aprn, Acnp-bc NPPES

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

MIRANDA KELLY DNP, APRN, ACNP-BC (NPI 1144588757) is an individual acute care provider in Shenandoah, Texas, licensed in Texas (542153) and active in the NPI registry since May 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1144588757

Entity TypeIndividualFemale

Primary Taxonomy363LA2100X

Provider Legal NameMIRANDA KELLYCredential: DNP, APRN, ACNP-BC

Location Address9250 PINECROFT DRShenandoah, TX 77380-3218

Mailing Address9250 Pinecroft DrShenandoah, TX 77380-3218 · (281) 703-7976 · Fax (713) 897-3214

Phone(713) 897-2332

Sole ProprietorYes

Enumeration DateMay 2, 2012

Last NPPES UpdateDecember 10, 2025

NPPES CertifiedDecember 10, 2025

✔ NPI 1144588757 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

License✔ Licensed in TX · 542153

9250 PINECROFT DR, Shenandoah, TX 77380

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Miranda Kelly Dnp, Aprn, Acnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77380 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

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

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.

Leave this field empty