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MRS. MIRANDA MARTIN MCMAHAN
NPI 1528823705
Nurse Practitioner - Family in Peoria, IL

Active since February 16, 2024PECOS EnrolledAccepts Medicare Assignment
330 SW ADAMS ST, PEORIA, IL 61602(309) 402-2978 Get Directions Write a Review

NPPES record last updated: February 16, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mrs. Miranda Martin Mcmahan NPPES

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

MRS. MIRANDA MARTIN MCMAHAN (NPI 1528823705) is an individual family provider in Peoria, Illinois, licensed in Illinois (209.029312) and active in the NPI registry since February 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1528823705
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. MIRANDA MARTIN MCMAHAN
Location Address330 SW ADAMS STPeoria, IL 61602-1502
Mailing Address3421 E Cedar Point DrChillicothe, IL 61523-9238 · (309) 402-2978
Phone(309) 402-2978
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateFebruary 16, 2024
NPPES CertifiedFebruary 16, 2024
✔ NPI 1528823705 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in IL · 209.029312
330 SW ADAMS ST, Peoria, IL 61602
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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

Mrs. Miranda Martin Mcmahan 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 ID244678696
PECOS Enrollment IDI20240403003414
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 61602 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARY ELIZABETH CABELL APRN
Nurse Practitioner
330 SW ADAMS ST
PEORIA, IL 61602
Peoria County (309) 655-2000
WHITNEY MARIE FRANK NP-C
Nurse Practitioner (Family)
330 SW ADAMS ST
PEORIA, IL 61602
Peoria County (833) 673-5867
ASHLEY FERRERO FERNANDEZ FNP
Nurse Practitioner (Family)
330 SW ADAMS ST
PEORIA, IL 61602
Peoria County (309) 530-9995
JANICE ABADILLA FNP-BC
Nurse Practitioner
330 SW ADAMS ST
PEORIA, IL 61602
Peoria County (309) 308-3310

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 Miranda Mcmahan's NPI number?

The NPI number for Miranda Mcmahan is 1528823705. It was assigned to this individual provider in the NPPES registry on February 16, 2024.

Where is Miranda Mcmahan located?

Miranda Mcmahan practices at 330 SW Adams St, Peoria, IL 61602. The listed phone number is (309) 402-2978.

What is Miranda Mcmahan's specialty?

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

Is Miranda Mcmahan enrolled in Medicare?

Yes. Miranda Mcmahan 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.

When was this NPI record last updated?

The NPPES record for Miranda Mcmahan was last updated on February 16, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.