MRS. VICKI LYNN MIRACLE R.N. NPI 1376701888

Registered Nurse (Community Health) in Beavercreek, OR

NPI 1376701888 Individual Female Registered Nurse Community Health

About VICKI MIRACLE

Vicki Miracle is a provider established in Beavercreek, Oregon and her medical specialization is registered nurse (community health) . The NPI number of Vicki Miracle is 1376701888 and was assigned on May 2008. The practitioner's primary taxonomy code is 163WC1500X with license number 090000670RN (OR). The provider is registered as an individual and her NPI record was last updated 13 years ago.

Vicki Miracle is a non-participating provider of Medicare. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.

NPI

1376701888

Provider NameMRS. VICKI LYNN MIRACLE R.N.
Provider Location Address19824 S BUTTE RD BEAVERCREEK, OR 97004
Provider Mailing Address19824 S BUTTE RD BEAVERCREEK, OR 97004
GenderFemale
NPI Entity TypeIndividual
Is Sole Proprietor?Yes
Is Organization Subpart?N/A
Enumeration Date05-30-2008
Last Update Date06-02-2008


Primary Taxonomy

Taxonomy Code163WC1500X
ClassificationRegistered Nurse
TypeNursing Service Providers
SpecializationCommunity Health
License No.090000670RN
License StateOR

Business Address

MRS. VICKI LYNN MIRACLE R.N.
19824 S BUTTE RD
BEAVERCREEK, OR
ZIP 97004
Phone: (503) 632-7077
Fax: (503) 336-1850

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Mailing Address

MRS. VICKI LYNN MIRACLE R.N.
19824 S BUTTE RD
BEAVERCREEK, OR
ZIP 97004
Phone: (503) 632-7077
Fax: (503) 336-1850



Other Providers at the same location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1003420407DISCOVERY PRACTICE MANAGEMENT, INC.
Organization
Psychiatric Residential Treatment Facility19824 S BUTTE RD
BEAVERCREEK, OR 97004
(503) 360-0333

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.