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MIRANDA WESTFALL NP
NPI 1194659193
Nurse Practitioner in Sheboygan, WI

Active since June 12, 2026PECOS Enrolled
3400 UNION AVE, SHEBOYGAN, WI 53081(920) 802-2100 Get Directions Write a Review

NPPES record last updated: August 26, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Miranda Westfall Np NPPES

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

MIRANDA WESTFALL NP (NPI 1194659193) is an individual nurse practitioner in Sheboygan, Wisconsin, licensed in Wisconsin (18499) and active in the NPI registry since June 2026. She is enrolled in Medicare PECOS, maintains a secondary practice location in Sheboygan, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1194659193
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMIRANDA WESTFALLCredential: NP
Location Address3400 UNION AVESheboygan, WI 53081-8426
Mailing AddressPo Box 735044Chicago, IL 60673-5044 · (800) 326-2250
Phone(920) 802-2100
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJune 12, 2026
Last NPPES UpdateAugust 26, 2026
NPPES CertifiedAugust 26, 2026
✔ NPI 1194659193 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in WI · 18499
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.
3400 UNION AVE, Sheboygan, WI 53081
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Secondary Practice Location 1

Location 12414 Kohler Memorial DrSheboygan, WI 53081-3129 · Phone (920) 457-4461

Other Identifiers 1

Medicaid100427820WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare) and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Miranda Westfall Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5496214058
PECOS Enrollment IDI20260825002570
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 Reassignment

Medicare enrollment records show Miranda Westfall reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Aurora Medical Group, Inc.
1.8 mi
Clinic/Center
2414 KOHLER MEMORIAL DR
Sheboygan, WI 53081
  • Reassigned Medicare billing, Wisconsin enrollment
  • 4,609 clinicians in this Medicare group
NPI 1174670244 (920) 457-4461

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 53081 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

LINDSEY KAY ROZEWICZ FNP-BC
Nurse Practitioner
3400 UNION AVE
SHEBOYGAN, WI 53081
Sheboygan County (920) 802-2100
MR. PETER B MICHON CRNA
Nurse Anesthetist, Certified Registered
3400 UNION AVE
SHEBOYGAN, WI 53081
Sheboygan County (920) 802-2100
DR. DEANN LEAH HARPER D.O.
Obstetrics & Gynecology
3400 UNION AVE
SHEBOYGAN, WI 53081
Sheboygan County (920) 828-2400
DR. PHILIP M. DETRANA M.D.
Internal Medicine (Pulmonary Disease)
3400 UNION AVE
SHEBOYGAN, WI 53081
Sheboygan County (920) 828-2700
SUMAR ABUSHAQRA
Nurse Practitioner (Family)
3400 UNION AVE
SHEBOYGAN, WI 53081
Sheboygan County (920) 802-2100
LUKE ELLIOT STANCZYK PA-C
Physician Assistant
3400 UNION AVE
SHEBOYGAN, WI 53081
Sheboygan County (920) 828-2530
MR. MUHAMMAD RASHEED KHAN ORAKZAI M.D.
Hospitalist
3400 UNION AVE
SHEBOYGAN, WI 53081
Sheboygan County (920) 802-2100
SREE RAMYA PUNUKOLLU
Hospitalist
3400 UNION AVE
SHEBOYGAN, WI 53081
Sheboygan County (920) 802-2100

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 Westfall's NPI number?

The NPI number for Miranda Westfall is 1194659193. It was assigned to this individual provider in the NPPES registry on June 12, 2026.

Where is Miranda Westfall located?

Miranda Westfall practices at 3400 Union Ave, Sheboygan, WI 53081. The listed phone number is (920) 802-2100.

What is Miranda Westfall's specialty?

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

Is Miranda Westfall enrolled in Medicare?

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

Which organization bills Medicare for Miranda Westfall's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Miranda Westfall reassigns Medicare benefits to Aurora Medical Group, Inc. (Sheboygan, WI). The 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 Westfall's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Miranda Westfall accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and Quartz and 1 other insurer list Miranda Westfall as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Miranda Westfall was last updated on August 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.