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MIRANA JEAN
NPI 1275272189
Nurse Practitioner in Lake Park, FL

Active since May 31, 2022PECOS EnrolledAccepts Medicare Assignment
936 FORESTERIA DR, LAKE PARK, FL 33403(561) 927-5411 Get Directions Write a Review

NPPES record last updated: May 31, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mirana Jean NPPES

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

MIRANA JEAN (NPI 1275272189) is an individual nurse practitioner in Lake Park, Florida, licensed in Florida (11011715) and active in the NPI registry since May 2022. She is enrolled in Medicare PECOS, is affiliated with Adventhealth Orlando, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1275272189
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMIRANA JEAN
Location Address936 FORESTERIA DRLake Park, FL 33403-3106
Mailing Address936 Foresteria DrLake Park, FL 33403-3106 · (561) 927-5411
Phone(561) 927-5411
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMay 31, 2022
NPPES CertifiedMay 31, 2022
✔ NPI 1275272189 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 FL · 11011715
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.
936 FORESTERIA DR, Lake Park, FL 33403
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Other Names 1

Former Name (1)Mirana Jean

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

Mirana Jean 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 ID2365949658
PECOS Enrollment IDI20251010004256
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

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

Adventhealth Orlando

Acute Care Hospitals · Orlando, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100007
Location601 E Rollins StOrlando, FL 32803 · Orange County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33403 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
$91.69 typical visit price
range $58.56 – $179.05
Typical copayment $22.92 (range $14.64 – $44.76)
Most-billed visit code 99203
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
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 Mirana Jean's NPI number?

The NPI number for Mirana Jean is 1275272189. It was assigned to this individual provider in the NPPES registry on May 31, 2022.

Where is Mirana Jean located?

Mirana Jean practices at 936 Foresteria Dr, Lake Park, FL 33403. The listed phone number is (561) 927-5411.

What is Mirana Jean's specialty?

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

Is Mirana Jean enrolled in Medicare?

Yes. Mirana Jean 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.

Is Mirana Jean affiliated with any hospitals?

According to CMS data, Mirana Jean is affiliated with Adventhealth Orlando.

When was this NPI record last updated?

The NPPES record for Mirana Jean was last updated on May 31, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.