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GRETA LOUISE MIRACLE PA-C
NPI 1245485846
Physician Assistant in Vancouver, WA

Active since November 24, 2008PECOS EnrolledAccepts Medicare Assignment
16703 SE MCGILLIVRAY BLVD, VANCOUVER, WA 98683(360) 566-4840(360) 566-4841 Get Directions Write a Review

NPPES record last updated: November 24, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Greta Louise Miracle Pa-c NPPES

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

GRETA LOUISE MIRACLE PA-C (NPI 1245485846) is an individual physician assistant in Vancouver, Washington, licensed in Washington (60058267) and active in the NPI registry since November 2008. She is enrolled in Medicare PECOS, is affiliated with Legacy Emanuel Medical Center, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1245485846
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameGRETA LOUISE MIRACLECredential: PA-C
Location Address16703 SE MCGILLIVRAY BLVDVancouver, WA 98683-4300
Mailing Address405 Ne 80th AvePortland, OR 97213-7019 · (206) 313-1113
Phone(360) 566-4840
Fax(360) 566-4841
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateNovember 24, 2008
✔ NPI 1245485846 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in WA · 60058267
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.
16703 SE MCGILLIVRAY BLVD, Vancouver, WA 98683
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, PacificSource Health Plans, Regence BlueCross BlueShield of Oregon.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

Greta Louise 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 ID840354007
PECOS Enrollment IDI20090205000446, I20240419001702
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.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Legacy Emanuel Medical Center

Acute Care Hospitals · Portland, OR
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380007
Location2801 N Gantenbein AvenuePortland, OR 97227 · Multnomah County
Emergency services Birthing friendly

Legacy Mount Hood Medical Center

Acute Care Hospitals · Gresham, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380025
Location24800 SE Stark StreetGresham, OR 97030 · Multnomah County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98683 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
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.

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers12 claims24 services$5.00 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress E0261
DME-Hospital Beds · category DB000N
2 suppliers15 claims15 services$33.36 avg. paid by Medicare
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) E0630
DME-Other DME · category DE000N
1 supplier11 claims11 services$36.61 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers13 claims13 services$58.41 avg. paid by Medicare
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$33.85 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 15

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

DARYAN LEMIRE OTR/L
Occupational Therapist
16703 SE MCGILLIVRAY BLVD, UNIT 170
VANCOUVER, WA 98683
Clark County (781) 449-7972
SARA DANKO ND, LAC
Naturopath
16703 SE MCGILLIVRAY BLVD
VANCOUVER, WA 98683
Clark County (360) 519-7631
MR. BRENT J COOPER NP
Nurse Practitioner (Family)
16703 SE MCGILLIVRAY BLVD, STE 120
VANCOUVER, WA 98683
Clark County (360) 566-4840
JOE A MARION MD
Family Medicine
16703 SE MCGILLIVRAY BLVD
VANCOUVER, WA 98683
Clark County (360) 735-5641
TARSHENE NICOLE DAUGHERTY LMP
Specialist
16703 SE MCGILLIVRAY BLVD, #215
VANCOUVER, WA 98683
Clark County (360) 883-2450
ABSOLUTE HEALTH & WELLNESS
Clinic/Center (Medical Specialty)
16703 SE MCGILLIVRAY BLVD, SUITE 215
VANCOUVER, WA 98683
Clark County (360) 883-2450
NORTHWEST HEALTH SPECIALTIES
Naturopath
16703 SE MCGILLIVRAY BLVD
VANCOUVER, WA 98683
Clark County (541) 791-6052
KAISER FOUNDATION HEALTH PLAN NORTHWEST
Pharmacy (Clinic Pharmacy)
16703 SE MCGILLIVRAY BLVD
VANCOUVER, WA 98683
Clark County (360) 735-5645

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 Greta Miracle's NPI number?

The NPI number for Greta Miracle is 1245485846. It was assigned to this individual provider in the NPPES registry on November 24, 2008.

Where is Greta Miracle located?

Greta Miracle practices at 16703 SE Mcgillivray Blvd, Vancouver, WA 98683. The listed phone number is (360) 566-4840.

What is Greta Miracle's specialty?

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

Is Greta Miracle enrolled in Medicare?

Yes. Greta Miracle 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.

What insurance does Greta Miracle accept?

Health plans from BridgeSpan Health Company, PacificSource Health Plans and Regence BlueCross BlueShield of Oregon list Greta Miracle 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.

Is Greta Miracle affiliated with any hospitals?

According to CMS data, Greta Miracle is affiliated with Legacy Emanuel Medical Center and Legacy Mount Hood Medical Center.

When was this NPI record last updated?

The NPPES record for Greta Miracle was last updated on November 24, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.