WENDY MIRONOV ARNP
NPI 1184199242
Nurse Practitioner in Renton, WA

Q: What is Wendy Mironov's NPI number?

The NPI number for Wendy Mironov is 1184199242. It was assigned to this individual provider in the NPPES registry on October 4, 2018.

Q: What is Wendy Mironov's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Wendy Mironov was last updated on February 3, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since October 04, 2018PECOS EnrolledAccepts Medicare Assignment

16200 116TH AVE SE, RENTON, WA 98058(425) 400-1899(425) 663-8000 Get Directions Write a Review

NPPES record last updated: February 3, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 3, 2025, Jan 10, 2025, Sep 24, 2024 and 2 more (5 updates tracked since 2018).

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About Wendy Mironov Arnp NPPES

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

WENDY MIRONOV ARNP (NPI 1184199242) is an individual nurse practitioner in Renton, Washington, licensed in Washington (AP60896870) and active in the NPI registry since October 2018. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1184199242

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameWENDY MIRONOVCredential: ARNP

Location Address16200 116TH AVE SERenton, WA 98058-5200

Mailing Address955 Powell Ave SwRenton, WA 98057-2908

Phone(425) 400-1899

Fax(425) 663-8000

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateOctober 4, 2018

Last NPPES UpdateFebruary 3, 20255 updates tracked since enumeration

NPPES CertifiedFebruary 3, 2025

✔ NPI 1184199242 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in WA · AP60896870

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedRegistered NurseTaxonomy 163W00000X · License RN60867522 (WA)

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License AP60896870 (WA)

16200 116TH AVE SE, Renton, WA 98058

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Secondary Practice Locations 3

Location 11112 S Cushman AveTacoma, WA 98405-3631 · Phone (253) 593-2144 ext. 22555 · Fax (253) 246-6725

Location 214434 Ambaum Blvd SW Ste 5Burien, WA 98166-1438 · Phone (206) 812-6140 ext. 20166 · Fax (206) 812-2466

Location 38720 14th Ave SSeattle, WA 98108-4807 · Phone (206) 762-3730

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

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

Wendy Mironov Arnp 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 ID8325476815

PECOS Enrollment IDI20200316002313

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 98058 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

$97.43 typical visit price

range $63.67 – $189.37

Typical copayment $24.35 (range $15.91 – $47.34)

Most-billed visit code 99203

Established Patient

$111.00 typical visit price

range $21.12 – $155.00

Typical copayment $27.75 (range $5.28 – $38.75)

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.

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Other Providers at the Same Location NPPES 13

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

KYLA KING

Counselor