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MIRANDA RESHAE BOSTIC PMHNP-BC
NPI 1346668050
Nurse Practitioner - Psychiatric/Mental Health in Portland, OR

Active since March 31, 2014PECOS EnrolledAccepts Medicare Assignment
5441 S MACADAM AVE STE A, PORTLAND, OR 97239(541) 248-1204 Get Directions Write a Review

NPPES record last updated: September 18, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 18, 2025, Sep 2, 2025, Aug 14, 2025 and 4 more (7 updates tracked since 2019).

About Miranda Reshae Bostic Pmhnp-bc NPPES

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

MIRANDA RESHAE BOSTIC PMHNP-BC (NPI 1346668050) is an individual psychiatric/mental health provider in Portland, Oregon, licensed in Oregon (10042383) and active in the NPI registry since March 2014. She is enrolled in Medicare PECOS, maintains a secondary practice location in Knoxville, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1346668050
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMIRANDA RESHAE BOSTICCredential: PMHNP-BC
Location Address5441 S MACADAM AVE STE APortland, OR 97239-3822
Mailing Address5441 S Macadam Ave Ste APortland, OR 97239-3822 · (541) 248-1204
Phone(541) 248-1204
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMarch 31, 2014
Last NPPES UpdateSeptember 18, 20257 updates tracked since enumeration
NPPES CertifiedSeptember 18, 2025
✔ NPI 1346668050 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses✔ Licensed in OR · 10042383✔ Licensed in TN · 26208
Also ListedNurse PractitionerTaxonomy 363L00000X · License 26208 (TN)
5441 S MACADAM AVE STE A, Portland, OR 97239
Open in Google Maps ↗

Other Names 1

Former Name (1)Miranda Reshae Ward

Secondary Practice Location 1

Location 12018 Western AveKnoxville, TN 37921-5718 · Phone (865) 544-0406 · Fax (865) 544-0480

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health and more.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

Miranda Reshae Bostic Pmhnp-bc 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 ID3870012099
PECOS Enrollment IDI20250813001188
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 97239 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
$103.51 typical visit price
range $19.32 – $144.79
Typical copayment $25.87 (range $4.83 – $36.19)
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.

DORIS IFEOMA AGU DNP, MSN, MPH, PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
5441 S MACADAM AVE STE A
PORTLAND, OR 97239
Multnomah County (503) 922-1818
LIMINAL SPACE THERAPY LLC
Social Worker (Clinical)
5441 S MACADAM AVE STE A
PORTLAND, OR 97239
Multnomah County (503) 208-5553
STACEE BREWER-GORDON
Counselor (Mental Health)
5441 S MACADAM AVE STE A
PORTLAND, OR 97239
Multnomah County (813) 474-6102
LINDSEY RAMSEY COUNSELING
Clinic/Center (Adult Mental Health)
5441 S MACADAM AVE STE A
PORTLAND, OR 97239
Multnomah County (971) 204-8838
MS. ERICA LEAH BONI
Counselor (Mental Health)
5441 S MACADAM AVE STE A
PORTLAND, OR 97239
Multnomah County (202) 746-1419
SUSIE HAMMOND
Social Worker (Clinical)
5441 S MACADAM AVE STE A
PORTLAND, OR 97239
Multnomah County (425) 608-0203
PATRICIA NICHOLSON
Counselor
5441 S MACADAM AVE STE A
PORTLAND, OR 97239
Multnomah County (503) 410-3009
ELISE HANNAH LEIBOWITZ
Counselor (Mental Health)
5441 S MACADAM AVE STE A
PORTLAND, OR 97239
Multnomah County (503) 662-2595

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 Bostic's NPI number?

The NPI number for Miranda Bostic is 1346668050. It was assigned to this individual provider in the NPPES registry on March 31, 2014. The provider is also known as Miranda Reshae Ward.

Where is Miranda Bostic located?

Miranda Bostic practices at 5441 S Macadam Ave Ste A, Portland, OR 97239. The listed phone number is (541) 248-1204.

What is Miranda Bostic's specialty?

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

Is Miranda Bostic enrolled in Medicare?

Yes. Miranda Bostic 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 Miranda Bostic accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 6 other insurers list Miranda Bostic 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 Bostic was last updated on September 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.