MIRANDA GROEBLER PMHNP
NPI 1336521236
Nurse Practitioner - Psychiatric/Mental Health in Malone, NY

Active since June 26, 2015PECOS EnrolledAccepts Medicare Assignment
31 6TH ST, MALONE, NY 12953(518) 483-3261(518) 483-3383 Get Directions Write a Review

NPPES record last updated: May 4, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Miranda Groebler Pmhnp NPPES

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

MIRANDA GROEBLER PMHNP (NPI 1336521236) is an individual psychiatric/mental health provider in Malone, New York, licensed in New York (401866) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of State University Of New York At Stony Brook, School Of Medicine (2015).

NPPES Registry Identity

NPI1336521236
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMIRANDA GROEBLERCredential: PMHNP
Location Address31 6TH STMalone, NY 12953-1246
Mailing Address4 Commerce LnCanton, NY 13617-3739 · (315) 386-1156
Fax(518) 483-3383
Sole ProprietorNo
Medical School CMSState University Of New York At Stony Brook, School Of MedicineGraduated 2015
Enumeration DateJune 26, 2015
Last NPPES UpdateMay 4, 2026
NPPES CertifiedMay 4, 2026
✔ NPI 1336521236 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in NY · 401866
31 6TH ST, Malone, NY 12953

Secondary Practice Locations 2

Location 14 Commerce LnCanton, NY 13617-3739 · Phone (315) 386-1156
Location 2125 Finney BlvdMalone, NY 12953-1067 · Phone (518) 481-8160 ext. 12302 · Fax (518) 481-8161

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 Groebler Pmhnp 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 ID7810204203
PECOS Enrollment IDI20150917000795
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 Groebler reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Rehabilitation, Substance Use Disorder
31 6TH ST
Malone, NY 12953
  • Reassigned Medicare billing, New York enrollment
  • 61 clinicians in this Medicare group

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 12953 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

Social Worker
31 6TH ST
MALONE, NY 12953
Counselor (Mental Health)
31 6TH ST
MALONE, NY 12953
Student in an Organized Health Care Education/Training Program
31 6TH ST
MALONE, NY 12953
Counselor (Addiction (Substance Use Disorder))
31 6TH ST
MALONE, NY 12953
Counselor (Addiction (Substance Use Disorder))
31 6TH ST
MALONE, NY 12953
Case Manager/Care Coordinator
31 6TH ST
MALONE, NY 12953
Case Manager/Care Coordinator
31 6TH ST
MALONE, NY 12953
Case Manager/Care Coordinator
31 6TH ST
MALONE, NY 12953

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 Groebler's NPI number?

The NPI number for Miranda Groebler is 1336521236. It was assigned to this individual provider in the NPPES registry on June 26, 2015.

Where is Miranda Groebler located?

Miranda Groebler practices at 31 6th St, Malone, NY 12953. The listed phone number is (518) 483-3261.

What is Miranda Groebler's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Miranda Groebler enrolled in Medicare?

Yes. Miranda Groebler 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 organization bills Medicare for Miranda Groebler's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Miranda Groebler reassigns Medicare benefits to Citizen Advocates, Inc (Malone, NY). 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 Groebler's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Miranda Groebler was last updated on May 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.