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MIRANDA MICHELLE ROACH FNP-C
NPI 1184240285
Nurse Practitioner - Family in Montgomery, TX

Active since June 24, 2020PECOS Enrolled
11907 CANDLEWOOD PL, MONTGOMERY, TX 77356(720) 480-3790 Get Directions Write a Review

NPPES record last updated: June 24, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Miranda Michelle Roach Fnp-c NPPES

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

MIRANDA MICHELLE ROACH FNP-C (NPI 1184240285) is an individual family provider in Montgomery, Texas, licensed in Texas (AP145597) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184240285
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMIRANDA MICHELLE ROACHCredential: FNP-C
Location Address11907 CANDLEWOOD PLMontgomery, TX 77356-5427
Mailing Address11907 Candlewood PlMontgomery, TX 77356-5427 · (720) 480-3790
Phone(720) 480-3790
Sole ProprietorYes
Enumeration DateJune 24, 2020
NPPES CertifiedJune 24, 2020
✔ NPI 1184240285 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TX · AP145597
11907 CANDLEWOOD PL, Montgomery, TX 77356
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Miranda Michelle Roach Fnp-c 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Miranda Roach reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pulse Physician Organization PLLC
21 mi
Cardiovascular Disease
119 MEDICAL PARK LN STE D
Huntsville, TX 77340
  • Reassigned Medicare billing, Texas enrollment
  • 31 clinicians in this Medicare group
NPI 1073087599 (936) 277-1000
Woodrome Medical PA
29 mi
Family Medicine
14006 OLD HIGHWAY 59 N
Splendora, TX 77372
  • Reassigned Medicare billing, Texas enrollment
  • 17 clinicians in this Medicare group
NPI 1265460919 (281) 689-6901

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 77356 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.

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 Roach's NPI number?

The NPI number for Miranda Roach is 1184240285. It was assigned to this individual provider in the NPPES registry on June 24, 2020.

Where is Miranda Roach located?

Miranda Roach practices at 11907 Candlewood Pl, Montgomery, TX 77356. The listed phone number is (720) 480-3790.

What is Miranda Roach's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Miranda Roach enrolled in Medicare?

Yes. Miranda Roach is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Miranda Roach's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Miranda Roach reassigns Medicare benefits to 2 organizations: Pulse Physician Organization PLLC (Huntsville, TX) and Woodrome Medical PA (Splendora, TX). 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 Roach'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 Roach was last updated on June 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.