MIRANDA RESHAE BOSTIC PMHNP-BC
NPI 1346668050
Nurse Practitioner - Psychiatric/Mental Health in Portland, OR
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
Specialties & Licenses 2
Other Names 1
Secondary Practice Location 1
Accepted 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 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.
Medicare Billing Reassignments
2Medicare enrollment records show Miranda Bostic reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Mountlake Terrace, WA 98043
- Reassigned Medicare billing, Oregon enrollment
- 234 clinicians in this Medicare group
Talbott, TN 37877
- Reassigned Medicare billing, Tennessee enrollment
- 257 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 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.
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.
PORTLAND, OR 97239
PORTLAND, OR 97239
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.
Which organizations bill Medicare for Miranda Bostic's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Miranda Bostic reassigns Medicare benefits to 2 organizations: Mindful Therapy Group PC (Mountlake Terrace, WA) and Cherokee Health Systems (Talbott, TN). 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 Bostic's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Miranda Bostic accept?
Health plans from BridgeSpan Health Company, Cigna Healthcare, Moda Health Plan, Inc., PacificSource Health Plans and Regence BlueCross BlueShield of Oregon and 1 other insurer 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 13 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.
# Miranda Reshae Bostic, PMHNP-BC · NPI 1346668050
Psychiatric/Mental Health physician in Portland, Oregon. Individual provider, active in the CMS NPPES registry since March 31, 2014.
## Identity
- **NPI:** 1346668050 (Entity type: Individual)
- **Enumerated:** March 31, 2014
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 10042383 (Oregon)
- **Sole proprietor:** No
## Practice location
- **Address:** 5441 S MACADAM AVE STE A, Portland, OR 97239-3822
- **Phone:** (541) 248-1204
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Mindful Therapy Group PC (NPI 1316238678, Mountlake Terrace, WA); Cherokee Health Systems (NPI 1134128820, Talbott, TN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** September 18, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1346668050) · Data from the CMS NPPES public registry.