MIRANDA KALISH PA
NPI 1588056147
Physician Assistant in Belleville, IL

Active since February 19, 2015PECOS Enrolled
4600 MEMORIAL DR, BELLEVILLE, IL 62226(618) 235-8720 Get Directions Write a Review

NPPES record last updated: September 29, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 29, 2021, Dec 27, 2018 (2 updates tracked since 2018).

About Miranda Kalish Pa NPPES

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

MIRANDA KALISH PA (NPI 1588056147) is an individual physician assistant in Belleville, Illinois, licensed in Arkansas (PA-799) and active in the NPI registry since February 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1588056147
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMIRANDA KALISHCredential: PA
Location Address4600 MEMORIAL DRBelleville, IL 62226-5368
Mailing Address4600 Memorial DrBelleville, IL 62226-5368 · (618) 235-8720
Sole ProprietorNo
Enumeration DateFebruary 19, 2015
Last NPPES UpdateSeptember 29, 20212 updates tracked since enumeration
NPPES CertifiedSeptember 29, 2021
NPI 1588056147 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in AR · PA-799
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.
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 085005407 (IL)
4600 MEMORIAL DR, Belleville, IL 62226

Other Names 1

Former Name (1)Miranda Boeckman Pa

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 (PECOS)

Miranda Kalish Pa 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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
166 services162 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
36 services36 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62226 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
$88.44 typical visit price
range $56.28 – $173.35
Typical copayment $22.11 (range $14.07 – $43.33)
Most-billed visit code 99203
Established Patient
$70.42 typical visit price
range $17.51 – $139.99
Typical copayment $17.60 (range $4.37 – $34.99)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
5%20 patients1/55-star benchmark: 92%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
27%30 patients2/55-star benchmark: 85%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
90%80 patients3/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
11%181 patients1/55-star benchmark: 97%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
46%68 patients2/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
88%181 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
6%181 patients1/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
40%181 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Family Medicine
4600 MEMORIAL DR, STE 160
BELLEVILLE, IL 62226
Nurse Practitioner (Obstetrics & Gynecology)
4600 MEMORIAL DR, STE. 400
BELLEVILLE, IL 62226
Family Medicine
4600 MEMORIAL DR, SUITE 100
BELLEVILLE, IL 62226
Internal Medicine
4600 MEMORIAL DR, SUITE 100
BELLEVILLE, IL 62226
Surgery (Vascular Surgery)
4600 MEMORIAL DR, SUITE120
BELLEVILLE, IL 62226
Podiatrist
4600 MEMORIAL DR, SUITE 300
BELLEVILLE, IL 62226
Pediatrics
4600 MEMORIAL DR, SUITE 280
BELLEVILLE, IL 62226
Surgery (Vascular Surgery)
4600 MEMORIAL DR, STE 240
BELLEVILLE, IL 62226

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 Kalish's NPI number?

The NPI number for Miranda Kalish is 1588056147. It was assigned to this individual provider in the NPPES registry on February 19, 2015. The provider is also known as Miranda Boeckman PA.

Where is Miranda Kalish located?

Miranda Kalish practices at 4600 Memorial Dr, Belleville, IL 62226. The listed phone number is (618) 235-8720.

What is Miranda Kalish's specialty?

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

Is Miranda Kalish enrolled in Medicare?

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

What insurance does Miranda Kalish accept?

Health plans from Arkansas Blue Cross and Blue Shield, Health Advantage and Octave list Miranda Kalish 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 Miranda Kalish was last updated on September 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.