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MIRANDA MARSHALL FNP
NPI 1245876242
Nurse Practitioner - Family in Ketchikan, AK

Active since November 25, 2019PECOS EnrolledAccepts Medicare Assignment
25 JEFFERSON WAY STE 101, KETCHIKAN, AK 99901(907) 247-9999 Get Directions Write a Review

NPPES record last updated: March 19, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 19, 2026, Nov 25, 2019 (2 updates tracked since 2019).

About Miranda Marshall Fnp NPPES

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

MIRANDA MARSHALL FNP (NPI 1245876242) is an individual family provider in Ketchikan, Alaska, licensed in Alaska (183598) and active in the NPI registry since November 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1245876242
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMIRANDA MARSHALLCredential: FNP
Location Address25 JEFFERSON WAY STE 101Ketchikan, AK 99901-5953
Mailing AddressPo Box 1099Ward Cove, AK 99928-1099 · (907) 247-9999
Phone(907) 247-9999
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateNovember 25, 2019
Last NPPES UpdateMarch 19, 20262 updates tracked since enumeration
NPPES CertifiedMarch 19, 2026
✔ NPI 1245876242 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 AK · 183598
25 JEFFERSON WAY STE 101, Ketchikan, AK 99901
Open in Google Maps ↗

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Miranda Marshall Fnp 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 ID1153758586
PECOS Enrollment IDI20220310001545
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 Marshall reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Russell Degroote MD PC
Same address
Orthopaedic Surgery
25 JEFFERSON WAY STE 101
Ketchikan, AK 99901
  • Reassigned Medicare billing, Alaska enrollment
  • 4 clinicians in this Medicare group
NPI 1033278155 (907) 247-9999
Clinton County Medical Center PC
2,250 mi
Family Medicine
1005 S US HIGHWAY 27 STE 100
Saint Johns, MI 48879
  • Reassigned Medicare billing, Michigan enrollment
  • 32 clinicians in this Medicare group
NPI 1861486938 (989) 224-3000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
250 services100 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
98 services60 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
57 services33 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
31 services31 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
19 services19 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99901 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
$111.57 typical visit price
range $71.33 – $222.64
Typical copayment $27.89 (range $17.83 – $55.66)
Most-billed visit code 99203
Established Patient
$128.73 typical visit price
range $21.84 – $181.48
Typical copayment $32.18 (range $5.46 – $45.37)
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 4

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

RUSSELL DEGROOTE MD PC
Orthopaedic Surgery
25 JEFFERSON WAY STE 101
KETCHIKAN, AK 99901
Ketchikan Gateway Borough (907) 247-9999
MS. PATRICIA JANE THORNTON CNM
Advanced Practice Midwife
25 JEFFERSON WAY STE 101
KETCHIKAN, AK 99901
Ketchikan Gateway Borough (907) 247-9999
DR. RUSSELL A DEGROOTE M.D.
Orthopaedic Surgery
25 JEFFERSON WAY STE 101
KETCHIKAN, AK 99901
Ketchikan Gateway Borough (907) 247-9999
DR. ANDREW FRANKLIN ZINK DO
Obstetrics & Gynecology
25 JEFFERSON WAY STE 101
KETCHIKAN, AK 99901
Ketchikan Gateway Borough (907) 247-9999

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 Marshall's NPI number?

The NPI number for Miranda Marshall is 1245876242. It was assigned to this individual provider in the NPPES registry on November 25, 2019.

Where is Miranda Marshall located?

Miranda Marshall practices at 25 Jefferson Way Ste 101, Ketchikan, AK 99901. The listed phone number is (907) 247-9999.

What is Miranda Marshall's specialty?

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

Is Miranda Marshall enrolled in Medicare?

Yes. Miranda Marshall 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.

Which organizations bill Medicare for Miranda Marshall's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Miranda Marshall reassigns Medicare benefits to 2 organizations: Russell Degroote MD PC (Ketchikan, AK) and Clinton County Medical Center PC (Saint Johns, MI). 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 Marshall's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Miranda Marshall accept?

Health plans from Moda Health Plan, Inc. and Premera Blue Cross Blue Shield of Alaska list Miranda Marshall 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 Marshall was last updated on March 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.