MISTY ROSE MIRANDA RDN, LD
NPI 1497230882
Dietitian, Registered in Anchorage, AK

Q: What is Misty Miranda's NPI number?

The NPI number for Misty Miranda is 1497230882. It was assigned to this individual provider in the NPPES registry on October 1, 2018. The provider is also known as Misty Rose Eisel.

Q: What is Misty Miranda's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Q: When was this NPI record last updated?

The NPPES record for Misty Miranda was last updated on October 1, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since October 01, 2018

4320 DIPLOMACY DR, ANCHORAGE, AK 99508(907) 729-3300 Get Directions Write a Review

NPPES record last updated: October 1, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Misty Rose Miranda Rdn, Ld NPPES

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

MISTY ROSE MIRANDA RDN, LD (NPI 1497230882) is an individual dietitian, registered in Anchorage, Alaska, licensed in Alaska (135801) and active in the NPI registry since October 2018.

NPPES Registry Identity

NPI1497230882

Entity TypeIndividualFemale

Primary Taxonomy133V00000X

Provider Legal NameMISTY ROSE MIRANDACredential: RDN, LD

Location Address4320 DIPLOMACY DRAnchorage, AK 99508-5925

Mailing Address4320 Diplomacy DrAnchorage, AK 99508-5925

Phone(907) 729-3300

Sole ProprietorNo

Enumeration DateOctober 1, 2018

✔ NPI 1497230882 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers

Taxonomy Code133V00000X

License✔ Licensed in AK · 135801

Definition

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

4320 DIPLOMACY DR, Anchorage, AK 99508

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Other Names 1

Former Name (1)Misty Rose Eisel

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Misty Rose Miranda Rdn, Ld is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignments

Medicare enrollment records show Misty Miranda reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Southcentral Foundation

Same address

Mental Health (Including Community Mental Health Center)

4320 DIPLOMACY DR STE 1500
Anchorage, AK 99508

Reassigned Medicare billing, Texas enrollment
459 clinicians in this Medicare group

NPI 1124064894 (907) 729-2500

Alaska Native Tribal Health Consortium

Same address

General Acute Care Hospital

4315 DIPLOMACY DR
Anchorage, AK 99508

Reassigned Medicare billing, Texas enrollment
1,373 clinicians in this Medicare group

NPI 1437189339 (907) 563-2662

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

EDWARD WASHINGTON II

Counselor (Mental Health)

4320 DIPLOMACY DR
ANCHORAGE, AK 99508

Anchorage Municipality (907) 729-0000

HEIDI GORDON CRS

Community Health Worker

4320 DIPLOMACY DR
ANCHORAGE, AK 99508

Anchorage Municipality (907) 729-3300

KRISTINA BALLINGER COHEN PHARMD

Pharmacist

4320 DIPLOMACY DR, ANMC PRIMARY CARE CENTER PHARMACY
ANCHORAGE, AK 99508

Anchorage Municipality (907) 729-8874

SHANNON CHASE CHAP

Community Health Worker

4320 DIPLOMACY DR
ANCHORAGE, AK 99508

Anchorage Municipality (907) 729-4955

MARY RENEE SPATAFORE PHARMD, RPH

Pharmacist

4320 DIPLOMACY DR
ANCHORAGE, AK 99508

Anchorage Municipality (907) 729-2159

RYAN T. MCWILLIAMS MD

Family Medicine

4320 DIPLOMACY DR, SUITE 1191
ANCHORAGE, AK 99508

Anchorage Municipality (907) 729-6321

SOUTHCENTRAL FOUNDATION

General Acute Care Hospital

4320 DIPLOMACY DR
ANCHORAGE, AK 99508

Anchorage Municipality (907) 729-3300

SUSANNA PETRIE RN

Registered Nurse

4320 DIPLOMACY DR
ANCHORAGE, AK 99508

Anchorage Municipality (907) 729-3316

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 Misty Miranda's NPI number?

The NPI number for Misty Miranda is 1497230882. It was assigned to this individual provider in the NPPES registry on October 1, 2018. The provider is also known as Misty Rose Eisel.

Where is Misty Miranda located?

Misty Miranda practices at 4320 Diplomacy Dr, Anchorage, AK 99508. The listed phone number is (907) 729-3300.

What is Misty Miranda's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Misty Miranda enrolled in Medicare?

Yes. Misty Miranda is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Misty Miranda's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Misty Miranda reassigns Medicare benefits to 2 organizations: Southcentral Foundation (Anchorage, AK) and Alaska Native Tribal Health Consortium (Anchorage, AK). 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 Misty Miranda's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Misty Miranda accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Misty Miranda 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 Misty Miranda was last updated on October 1, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.