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MARIA SOCORRO MIRANDA GANDARA FNP
NPI 1366625717
Nurse Practitioner - Family in Olympia, WA

Active since December 07, 2007PECOS EnrolledAccepts Medicare Assignment
1100 EASTSIDE ST SE, OLYMPIA, WA 98501(360) 943-5127(360) 754-2516 Get Directions Write a Review

NPPES record last updated: October 10, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 10, 2023, Oct 21, 2018, Oct 1, 2018 and 1 more (4 updates tracked since 2017).

About Maria Socorro Miranda Gandara Fnp NPPES

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

MARIA SOCORRO MIRANDA GANDARA FNP (NPI 1366625717) is an individual family provider in Olympia, Washington, licensed in Washington (AP60909533) and active in the NPI registry since December 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1366625717
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMARIA SOCORRO MIRANDA GANDARACredential: FNP
Location Address1100 EASTSIDE ST SEOlympia, WA 98501-7304
Mailing AddressCapital Eastside Family Practice, 1100 Eastside St SeOlympia, WA 98501 · (360) 943-5127 · Fax (360) 754-2516
Phone(360) 943-5127
Fax(360) 754-2516
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateDecember 7, 2007
Last NPPES UpdateOctober 10, 20234 updates tracked since enumeration
NPPES CertifiedOctober 6, 2023
✔ NPI 1366625717 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in WA · AP60909533
Also ListedRegistered NurseTaxonomy 163W00000X · License RN60231010 (WA)
Also ListedNurse PractitionerTaxonomy 363L00000X · License AP60909533 (WA)
1100 EASTSIDE ST SE, Olympia, WA 98501
Open in Google Maps ↗

Other Identifiers 1

Medicaid2112470WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.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

Maria Socorro Miranda Gandara 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 ID7315285905
PECOS Enrollment IDI20190206000740
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.

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 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.
156 services149 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
28 services28 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
27 services27 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
25 services24 patients
Detection test by multiplex amplified probe technique for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (covid-19) and influenza virus types a and b 87636
This test detects the presence of SARS-CoV-2 (COVID-19) and Influenza types A and B in your body. It uses a method called the multiplex amplified probe technique to amplify and identify specific virus genes. It helps in early diagnosis and appropriate treatment.
19 services19 patients
Removal of impacted ear wax by washing 69209
Impacted ear wax removal by washing, also known as ear irrigation, involves using a pressurized flow of water to break up and dislodge the ear wax. This safe procedure helps restore normal hearing and relieve discomfort caused by the blockage.
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98501 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory E1028
DME-Wheelchairs · category DD021N
2 suppliers19 claims19 services$9.49 avg. paid by Medicare
Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds K0823
DME-Wheelchairs · category DD009N
2 suppliers19 claims19 services$119.00 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

MR. BEN D GARDNER ARNP
Nurse Practitioner (Family)
1100 EASTSIDE ST SE
OLYMPIA, WA 98501
Thurston County (360) 943-5127
DR. MIKAEL B KAUTSKY DDS, PHD
Dentist (General Practice)
1100 EASTSIDE ST SE, #4
OLYMPIA, WA 98501
Thurston County (360) 943-6378
EWH INC
Nurse Practitioner (Adult Health)
1100 EASTSIDE ST SE
OLYMPIA, WA 98501
Thurston County (360) 943-5127
LABORATORY CORPORATION OF AMERICA
Clinical Medical Laboratory
1100 EASTSIDE ST SE
OLYMPIA, WA 98501
Thurston County (360) 943-5252

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 Maria Socorro Gandara's NPI number?

The NPI number for Maria Socorro Gandara is 1366625717. It was assigned to this individual provider in the NPPES registry on December 7, 2007.

Where is Maria Socorro Gandara located?

Maria Socorro Gandara practices at 1100 Eastside St SE, Olympia, WA 98501. The listed phone number is (360) 943-5127.

What is Maria Socorro Gandara's specialty?

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

Is Maria Socorro Gandara enrolled in Medicare?

Yes. Maria Socorro Gandara 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 Maria Socorro Gandara accept?

Health plans from Providence Health Plan list Maria Socorro Gandara 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 Maria Socorro Gandara was last updated on October 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.