MIRANDA WINIFRED RIFENBURGH MSN, AGPCNP-BC, CWS
NPI 1164073755
Nurse Practitioner - Primary Care in El Segundo, CA
About Miranda Winifred Rifenburgh Msn, Agpcnp-bc, Cws NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MIRANDA WINIFRED RIFENBURGH MSN, AGPCNP-BC, CWS (NPI 1164073755) is an individual primary care provider in El Segundo, California, licensed in California (95012259) and active in the NPI registry since September 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).
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 Winifred Rifenburgh Msn, Agpcnp-bc, Cws 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 Rifenburgh reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
El Segundo, CA 90245
- Reassigned Medicare billing, California enrollment
- 53 clinicians in this Medicare group
Los Angeles, CA 90015
- Reassigned Medicare billing, California enrollment
- 2,052 clinicians in this Medicare group
Burbank, CA 91506
- Reassigned Medicare billing, California enrollment
- 50 clinicians in this Medicare group
Santa Ana, CA 92705
- Reassigned Medicare billing, California enrollment
- 21 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 90245 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 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
EL SEGUNDO, CA 90245
EL SEGUNDO, CA 90245
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 Rifenburgh's NPI number?
The NPI number for Miranda Rifenburgh is 1164073755. It was assigned to this individual provider in the NPPES registry on September 25, 2019.
Where is Miranda Rifenburgh located?
Miranda Rifenburgh practices at 222 N Pacific Coast Hwy Ste 1420, El Segundo, CA 90245. The listed phone number is (818) 318-2530.
What is Miranda Rifenburgh's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.
Is Miranda Rifenburgh enrolled in Medicare?
Yes. Miranda Rifenburgh 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 Rifenburgh's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Miranda Rifenburgh reassigns Medicare benefits to 4 organizations: Robert Marriott Medical Corp (El Segundo, CA), Healthcare Partners Affiliates Medical Group (Los Angeles, CA), West Coast Wound And Skin Care Inc (Burbank, CA) and Baromedical Physician Associates Medical Group (Santa Ana, 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 Rifenburgh'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 Rifenburgh was last updated on January 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 Winifred Rifenburgh, MSN, AGPCNP-BC, CWS · NPI 1164073755
Primary Care physician in El Segundo, California. Individual provider, active in the CMS NPPES registry since September 25, 2019.
## Identity
- **NPI:** 1164073755 (Entity type: Individual)
- **Enumerated:** September 25, 2019
- **Primary specialty:** Nurse Practitioner - Primary Care · taxonomy 363LP2300X
- **State license:** 95012259 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 222 N PACIFIC COAST HWY STE 1420, El Segundo, CA 90245-5648
- **Phone:** (818) 318-2530
## 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): Robert Marriott Medical Corp (NPI 1083883938, El Segundo, CA); Healthcare Partners Affiliates Medical Group (NPI 1659312593, Los Angeles, CA); West Coast Wound And Skin Care Inc (NPI 1437675980, Burbank, CA); Baromedical Physician Associates Medical Group (NPI 1164569463, Santa Ana, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** January 5, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1164073755) · Data from the CMS NPPES public registry.