REBEKKAH MIRANDA AG-ACNP
NPI 1497535751
Nurse Practitioner - Acute Care in Draper, UT

Q: What is Rebekkah Miranda's NPI number?

The NPI number for Rebekkah Miranda is 1497535751. It was assigned to this individual provider in the NPPES registry on October 4, 2023.

Q: What is Rebekkah Miranda's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Q: When was this NPI record last updated?

The NPPES record for Rebekkah Miranda was last updated on October 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 04, 2023PECOS Enrolled

15123 S HEATHER STONE CIR, DRAPER, UT 84020(843) 263-4258 Get Directions Write a Review

NPPES record last updated: October 4, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Rebekkah Miranda Ag-acnp NPPES

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

REBEKKAH MIRANDA AG-ACNP (NPI 1497535751) is an individual acute care provider in Draper, Utah, licensed in Utah (8311663-4405) and active in the NPI registry since October 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1497535751

Entity TypeIndividualFemale

Primary Taxonomy363LA2100X

Provider Legal NameREBEKKAH MIRANDACredential: AG-ACNP

Location Address15123 S HEATHER STONE CIRDraper, UT 84020-5718

Mailing Address329 E 400 SProvo, UT 84606-4735 · (843) 263-4258

Phone(843) 263-4258

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateOctober 4, 2023

NPPES CertifiedOctober 4, 2023

✔ NPI 1497535751 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

License✔ Licensed in UT · 8311663-4405

15123 S HEATHER STONE CIR, Draper, UT 84020

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rebekkah Miranda Ag-acnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3870016314

PECOS Enrollment IDI20250326000458

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.

Medicare Billing Reassignment

Medicare enrollment records show Rebekkah Miranda reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Signify Health, LLC

979 mi

General Practice

4055 VALLEY VIEW LN STE 700
Dallas, TX 75244

Reassigned Medicare billing, Utah enrollment
145 clinicians in this Medicare group

NPI 1689158487 (469) 466-7007

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 84020 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

$84.41 typical visit price

range $54.34 – $166.03

Typical copayment $21.10 (range $13.58 – $41.50)

Most-billed visit code 99203

Established Patient

$96.35 typical visit price

range $17.23 – $135.20

Typical copayment $24.08 (range $4.30 – $33.80)

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.

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 Rebekkah Miranda's NPI number?

The NPI number for Rebekkah Miranda is 1497535751. It was assigned to this individual provider in the NPPES registry on October 4, 2023.

Where is Rebekkah Miranda located?

Rebekkah Miranda practices at 15123 S Heather Stone Cir, Draper, UT 84020. The listed phone number is (843) 263-4258.

What is Rebekkah Miranda's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Rebekkah Miranda enrolled in Medicare?

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

Which organization bills Medicare for Rebekkah Miranda's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rebekkah Miranda reassigns Medicare benefits to Signify Health, LLC (Dallas, TX). The 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 Rebekkah Miranda's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Rebekkah Miranda was last updated on October 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.