JARED MIRACLE PA-C
NPI 1205726569
Physician Assistant in Beaverton, OR

Q: What is Jared Miracle's NPI number?

The NPI number for Jared Miracle is 1205726569. It was assigned to this individual provider in the NPPES registry on July 8, 2025.

Q: What is Jared Miracle's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Jared Miracle was last updated on May 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since July 08, 2025PECOS EnrolledAccepts Medicare Assignment

6800 SW 105TH AVE, BEAVERTON, OR 97008(503) 430-1777 Get Directions Write a Review

NPPES record last updated: May 3, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 3, 2026, Jul 8, 2025 (2 updates tracked since 2025).

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About Jared Miracle Pa-c NPPES

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

JARED MIRACLE PA-C (NPI 1205726569) is an individual physician assistant in Beaverton, Oregon and active in the NPI registry since July 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1205726569

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameJARED MIRACLECredential: PA-C

Location Address6800 SW 105TH AVEBeaverton, OR 97008-5468

Mailing Address6800 Sw 105th AveBeaverton, OR 97008-5468 · (503) 430-1777

Phone(503) 430-1777

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateJuly 8, 2025

Last NPPES UpdateMay 3, 20262 updates tracked since enumeration

NPPES CertifiedMay 3, 2026

✔ NPI 1205726569 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

6800 SW 105TH AVE, Beaverton, OR 97008

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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

Jared Miracle Pa-c 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 ID1254839673

PECOS Enrollment IDI20250813003282

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 97008 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

$90.51 typical visit price

range $58.99 – $176.88

Typical copayment $22.62 (range $14.74 – $44.22)

Most-billed visit code 99203

Established Patient

$73.28 typical visit price

range $19.32 – $144.79

Typical copayment $18.32 (range $4.83 – $36.19)

Most-billed visit code 99213

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 5

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

LISA ANNE BROCK APRN-BC

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