MRS. MIRANDA DEBORD WILLETTE PA-C
NPI 1578839593
Physician Assistant in San Antonio, TX

Q: What is Miranda Willette's NPI number?

The NPI number for Miranda Willette is 1578839593. It was assigned to this individual provider in the NPPES registry on March 23, 2012.

Q: What is Miranda Willette's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Miranda Willette was last updated on March 7, 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 March 23, 2012PECOS Enrolled

2710 NOGALITOS, SAN ANTONIO, TX 78225(210) 436-8400(833) 452-1052 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 7, 2023, Jan 27, 2023 (2 updates tracked since 2023).

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About Mrs. Miranda Debord Willette Pa-c NPPES

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

MRS. MIRANDA DEBORD WILLETTE PA-C (NPI 1578839593) is an individual physician assistant in San Antonio, Texas, licensed in Texas (PA07761) and active in the NPI registry since March 2012. She is enrolled in Medicare PECOS and maintains a secondary practice location in San Antonio.

NPPES Registry Identity

NPI1578839593

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMRS. MIRANDA DEBORD WILLETTECredential: PA-C

Location Address2710 NOGALITOSSan Antonio, TX 78225-1750

Mailing Address2710 Nogalitos Ste 104San Antonio, TX 78225-1750 · (210) 436-8400 · Fax (833) 452-1052

Phone(210) 436-8400

Fax(833) 452-1052

Sole ProprietorNo

Enumeration DateMarch 23, 2012

Last NPPES UpdateMarch 7, 20232 updates tracked since enumeration

NPPES CertifiedJanuary 27, 2023

✔ NPI 1578839593 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in TX · PA07761

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

2710 NOGALITOS, San Antonio, TX 78225

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Secondary Practice Location 1

Location 112702 Toepperwein, Suite 104San Antonio, TX 78233 · Phone (210) 653-4420 · Fax (210) 653-3183

Other Identifiers 3

OtherR0187954TX · Dps

OtherPA07761TX · Medical License

Other12370726TX · Caqh

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Miranda Debord Willette Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

39 services27 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

17 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78225 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

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$68.55 typical visit price

range $17.52 – $136.11

Typical copayment $17.13 (range $4.38 – $34.02)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

1 supplier14 claims14 services$10.81 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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Other Providers at the Same Location NPPES 10

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

SERJO MARTINEZ PHARM. D.

Pharmacist