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MIRANDA DUESENBERRY PAC
NPI 1588138705
Physician Assistant in Farrell, PA

Active since January 22, 2019PECOS EnrolledAccepts Medicare Assignment
2120 LIKENS LN, FARRELL, PA 16121(724) 588-4370 Get Directions Write a Review

NPPES record last updated: December 28, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 28, 2020, Jan 22, 2019 (2 updates tracked since 2019).

About Miranda Duesenberry Pac NPPES

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

MIRANDA DUESENBERRY PAC (NPI 1588138705) is an individual physician assistant in Farrell, Pennsylvania, licensed in Pennsylvania (MA060491) and active in the NPI registry since January 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Youngstown, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1588138705
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMIRANDA DUESENBERRYCredential: PAC
Location Address2120 LIKENS LNFarrell, PA 16121-2304
Mailing Address2120 Likens LnFarrell, PA 16121-2304 · (724) 588-4370
Phone(724) 588-4370
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJanuary 22, 2019
Last NPPES UpdateDecember 28, 20202 updates tracked since enumeration
NPPES CertifiedDecember 28, 2020
✔ NPI 1588138705 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 PA · MA060491
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.
2120 LIKENS LN, Farrell, PA 16121
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Secondary Practice Location 1

Location 12065 S Schenley AveYoungstown, OH 44511-1262 · Phone (330) 718-0760

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

Miranda Duesenberry Pac 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 ID7517208754
PECOS Enrollment IDI20190416001684
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 16121 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

Other Providers at the Same Location NPPES 9

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

MICHAEL MATTHEWS
Specialist
2120 LIKENS LN, 3RD FLOOR
FARRELL, PA 16121
Mercer County (724) 588-4370
DR. ERIC WAYNE ROBERTSON DNP
Nurse Practitioner (Family)
2120 LIKENS LN
FARRELL, PA 16121
Mercer County (724) 983-7991
JESSICA BROWN
Nurse Practitioner (Family)
2120 LIKENS LN
FARRELL, PA 16121
Mercer County (724) 983-7970
ERIK PETERSON
Physical Therapist
2120 LIKENS LN
FARRELL, PA 16121
Mercer County (724) 983-7980
NANCY E TEWELL LDN
Dietitian, Registered
2120 LIKENS LN, SUITE 100
FARRELL, PA 16121
Mercer County (724) 662-7879
CHRISTOPHER VANHORN
Physical Therapy Assistant
2120 LIKENS LN
FARRELL, PA 16121
Mercer County (724) 983-7980
ADAM M. HAMILTON
Physical Therapy Assistant
2120 LIKENS LN
FARRELL, PA 16121
Mercer County (724) 983-7980
MARIAN CONNER
Nurse Practitioner (Adult Health)
2120 LIKENS LN
FARRELL, PA 16121
Mercer County (724) 981-3731

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 Duesenberry's NPI number?

The NPI number for Miranda Duesenberry is 1588138705. It was assigned to this individual provider in the NPPES registry on January 22, 2019.

Where is Miranda Duesenberry located?

Miranda Duesenberry practices at 2120 Likens Ln, Farrell, PA 16121. The listed phone number is (724) 588-4370.

What is Miranda Duesenberry's specialty?

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

Is Miranda Duesenberry enrolled in Medicare?

Yes. Miranda Duesenberry 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 Duesenberry was last updated on December 28, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.