MIRANDA N ALLEY
NPI 1669048294
Nurse Practitioner - Family in Kingsport, TN

Active since June 03, 2021PECOS EnrolledAccepts Medicare Assignment
130 W RAVINE RD, KINGSPORT, TN 37660(423) 224-4000 Get Directions Write a Review

NPPES record last updated: March 6, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 6, 2026, May 5, 2025, Oct 28, 2022 and 1 more (4 updates tracked since 2021).

About Miranda N Alley NPPES

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

MIRANDA N ALLEY (NPI 1669048294) is an individual family provider in Kingsport, Tennessee, licensed in Tennessee (29447) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS, is affiliated with Wellmont Holston Valley Medical Center, and maintains a secondary practice location in Kingsport.

NPPES Registry Identity

NPI1669048294
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMIRANDA N ALLEY
Location Address130 W RAVINE RDKingsport, TN 37660-3837
Mailing Address1021 W Oakland Ave Ste 310Johnson City, TN 37604-2192 · (423) 952-2111
Sole ProprietorNo
Medical School CMSEast Tennessee State University Quillen College Of MedicineGraduated 2020
Enumeration DateJune 3, 2021
Last NPPES UpdateMarch 6, 20264 updates tracked since enumeration
NPPES CertifiedMarch 6, 2026
✔ NPI 1669048294 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 TN · 29447
130 W RAVINE RD, Kingsport, TN 37660

Other Names 1

Former Name (1)Miranda Elliott

Secondary Practice Location 1

Location 11700 Pinebrook Dr Ste 2Kingsport, TN 37660-4365 · Phone (423) 579-0101

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Miranda N Alley 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 ID8820473499
PECOS Enrollment IDI20220917000089
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Miranda Alley reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
111 W STONE DR, SUITE 110
Kingsport, TN 37660
  • Reassigned Medicare billing, Tennessee enrollment
  • 861 clinicians in this Medicare group
Hospitalist
990 OAK RIDGE TPKE
Oak Ridge, TN 37830
  • Reassigned Medicare billing, Tennessee enrollment
  • 1,085 clinicians in this Medicare group
Hospitalist
10550 PARK RUN DR
Las Vegas, NV 89144
  • Reassigned Medicare billing, Tennessee enrollment
  • 253 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Wellmont Holston Valley Medical Center

Acute Care Hospitals · Kingsport, TN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440017
Location130 West Ravine RoadKingsport, TN 37662 · Sullivan County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37660 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

Pharmacist
130 W RAVINE RD
KINGSPORT, TN 37660
General Practice
130 W RAVINE RD
KINGSPORT, TN 37660
Pharmacist
130 W RAVINE RD, WELLMONT OUTPATIENT PHARMACY
KINGSPORT, TN 37660
Occupational Therapist
130 W RAVINE RD
KINGSPORT, TN 37660
Nurse Anesthetist, Certified Registered
130 W RAVINE RD
KINGSPORT, TN 37660
Hospitalist
130 W RAVINE RD
KINGSPORT, TN 37660
Nurse Practitioner (Family)
130 W RAVINE RD
KINGSPORT, TN 37660
Nurse Practitioner (Family)
130 W RAVINE RD
KINGSPORT, TN 37660

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 Alley's NPI number?

The NPI number for Miranda Alley is 1669048294. It was assigned to this individual provider in the NPPES registry on June 3, 2021. The provider is also known as Miranda Elliott.

Where is Miranda Alley located?

Miranda Alley practices at 130 W Ravine Rd, Kingsport, TN 37660. The listed phone number is (423) 224-4000.

What is Miranda Alley's specialty?

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

Is Miranda Alley enrolled in Medicare?

Yes. Miranda Alley 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.

Which organizations bill Medicare for Miranda Alley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Miranda Alley reassigns Medicare benefits to 3 organizations: Wellmont Medical Associates, Inc. (Kingsport, TN), Southeastern Physician Services PC (Oak Ridge, TN) and Nv Pacs 2 LLC (Las Vegas, NV). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Miranda Alley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Miranda Alley accept?

Health plans from Cigna Healthcare list Miranda Alley 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.

Is Miranda Alley affiliated with any hospitals?

According to CMS data, Miranda Alley is affiliated with Wellmont Holston Valley Medical Center.

When was this NPI record last updated?

The NPPES record for Miranda Alley was last updated on March 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.