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MIRANDA MULHOLLAND
NPI 1164875175
Nurse Practitioner - Acute Care in La Jolla, CA

Active since July 14, 2016PECOS EnrolledAccepts Medicare Assignment
9850 GENESEE AVE, SUITE 560, LA JOLLA, CA 92037(858) 824-5001 Get Directions Write a Review

NPPES record last updated: July 14, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Miranda Mulholland NPPES

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

MIRANDA MULHOLLAND (NPI 1164875175) is an individual acute care provider in La Jolla, California, licensed in California (95004526) and active in the NPI registry since July 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1164875175
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameMIRANDA MULHOLLAND
Location Address9850 GENESEE AVE, SUITE 560La Jolla, CA 92037-1224
Mailing Address10790 Rancho Bernardo Rd, Mail Drop 4s-205San Diego, CA 92127-5705 · (858) 927-5527
Phone(858) 824-5001
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateJuly 14, 2016
✔ NPI 1164875175 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 CA · 95004526
9850 GENESEE AVE, La Jolla, CA 92037
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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 Mulholland 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 ID7810284122
PECOS Enrollment IDI20160929000991
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 92037 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
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.

SUHAIR S. ERIKAT MFT
Marriage & Family Therapist
9850 GENESEE AVE, SUITE 970
LA JOLLA, CA 92037
San Diego County (858) 558-2731
DR. MARK C ADRIAN M.D.
Internal Medicine
9850 GENESEE AVE, SUITE 355
LA JOLLA, CA 92037
San Diego County (858) 202-0011
RICHARD A.K. CHAFFOO, A PROFESSIONAL CORPORATION
Plastic Surgery
9850 GENESEE AVE, SUITE 330
LA JOLLA, CA 92037
San Diego County (858) 623-6333
MRS. KATHLEEN DYKES YOUNG MS
Clinical Exercise Physiologist
9850 GENESEE AVE, SUITE 730
LA JOLLA, CA 92037
San Diego County (858) 847-5064
YEVHENIYA KHROBUST FNP
Nurse Practitioner (Family)
9850 GENESEE AVE
LA JOLLA, CA 92037
San Diego County (858) 554-9100
DR. PAMILA K. BRAR M.D.
Internal Medicine
9850 GENESEE AVE, STE 570
LA JOLLA, CA 92037
San Diego County (858) 200-3007
PRIMA PRIMARY MEDICAL ASSOCIATION, INC
Internal Medicine
9850 GENESEE AVE, SUITE 355
LA JOLLA, CA 92037
San Diego County (858) 202-0011
MAHMOOD MAHDAVI M.D.
Otolaryngology
9850 GENESEE AVE, STE 710
LA JOLLA, CA 92037
San Diego County (858) 458-9955

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 Mulholland's NPI number?

The NPI number for Miranda Mulholland is 1164875175. It was assigned to this individual provider in the NPPES registry on July 14, 2016.

Where is Miranda Mulholland located?

Miranda Mulholland practices at 9850 Genesee Ave Suite 560, La Jolla, CA 92037. The listed phone number is (858) 824-5001.

What is Miranda Mulholland's specialty?

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

Is Miranda Mulholland enrolled in Medicare?

Yes. Miranda Mulholland 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 Mulholland was last updated on July 14, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.