DR. MIRANDA L VAN DE LOO DNP, FNP-BC, PMHNP
NPI 1518575968
Nurse Practitioner - Psychiatric/Mental Health in Spokane, WA

Active since July 21, 2020PECOS EnrolledAccepts Medicare Assignment
100 N HOWARD ST STE R, SPOKANE, WA 99201(360) 836-4314 Get Directions Write a Review

NPPES record last updated: April 15, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 15, 2022, Jul 31, 2020, Jul 21, 2020 (3 updates tracked since 2020).

About Dr. Miranda L Van De Loo Dnp, Fnp-bc, Pmhnp NPPES

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

DR. MIRANDA L VAN DE LOO DNP, FNP-BC, PMHNP (NPI 1518575968) is an individual psychiatric/mental health provider in Spokane, Washington, licensed in Washington (2022000625) and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1518575968
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameDR. MIRANDA L VAN DE LOOCredential: DNP, FNP-BC, PMHNP
Location Address100 N HOWARD ST STE RSpokane, WA 99201-0508
Mailing Address100 N Howard St Ste RSpokane, WA 99201-0508 · (360) 836-4314
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJuly 21, 2020
Last NPPES UpdateApril 15, 20223 updates tracked since enumeration
NPPES CertifiedApril 15, 2022
NPI 1518575968 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in WA · 2022000625
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 233947 (WI)
100 N HOWARD ST STE R, Spokane, WA 99201

Accepted 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

Dr. Miranda L Van De Loo Dnp, Fnp-bc, Pmhnp 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 ID9133549009
PECOS Enrollment IDI20220710000093
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99201 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.

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.

Counselor (Mental Health)
100 N HOWARD ST STE R
SPOKANE, WA 99201
Community/Behavioral Health
100 N HOWARD ST STE R
SPOKANE, WA 99201
Behavior Analyst
100 N HOWARD ST STE R
SPOKANE, WA 99201
Counselor (Mental Health)
100 N HOWARD ST STE R
SPOKANE, WA 99201
Counselor (Mental Health)
100 N HOWARD ST STE R
SPOKANE, WA 99201
Counselor (Mental Health)
100 N HOWARD ST STE R
SPOKANE, WA 99201
Social Worker (Clinical)
100 N HOWARD ST STE R
SPOKANE, WA 99201
Social Worker (Clinical)
100 N HOWARD ST STE R
SPOKANE, WA 99201

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1518575968, enumerated as an "individual" on July 21, 2020.

The provider is located at 100 N HOWARD ST STE R SPOKANE, WA 99201 and the phone number is (360) 836-4314.

Nurse Practitioner with taxonomy code 363LP0808X and a focus in Psychiatric/Mental Health.

The provider might be accepting Accepts: BridgeSpan Health Company, Kaiser Permanente, Moda. Please consult your insurance carrier or call the provider to verify.