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MIRANDA TADEVICH
NPI 1669107512
Nurse Practitioner - Family in Tracy, CA

Active since July 22, 2022PECOS Enrolled
54.53/100
CMS Quality Rating
445 W EATON AVE, TRACY, CA 95376(209) 830-4075 Get Directions Write a Review

NPPES record last updated: May 20, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Miranda Tadevich NPPES

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

MIRANDA TADEVICH (NPI 1669107512) is an individual family provider in Tracy, California, licensed in California (NP95029206) and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669107512
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMIRANDA TADEVICH
Location Address445 W EATON AVETracy, CA 95376-3420
Mailing AddressPo Box 255228Sacramento, CA 95865-5228 · (209) 830-4075
Phone(209) 830-4075
Sole ProprietorNo
Enumeration DateJuly 22, 2022
Last NPPES UpdateMay 20, 2024
NPPES CertifiedMay 20, 2024
✔ NPI 1669107512 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · NP95029206
Also ListedNurse PractitionerTaxonomy 363L00000X · License APN.0997765 (CO)
445 W EATON AVE, Tracy, CA 95376
Open in Google Maps ↗

Other Names 1

Former Name (1)Miranda Downs

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 Tadevich 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

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.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95376 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
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.

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.

54.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality42.05
Improvement Activities40
Cost52.2

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.

PHILIP DIEU MING DING MD
Surgery
445 W EATON AVE
TRACY, CA 95376
San Joaquin County (209) 524-1211
DR. STEPHEN ROBERT KRUGER DO
Family Medicine
445 W EATON AVE
TRACY, CA 95376
San Joaquin County (209) 830-4075
MEGANA REDDY ROOPREDDY MD
Pediatrics
445 W EATON AVE
TRACY, CA 95376
San Joaquin County (209) 832-0535
LARRY J LO MD
Obstetrics & Gynecology
445 W EATON AVE
TRACY, CA 95376
San Joaquin County (209) 335-0100
DR. TABISH JALAL
Internal Medicine
445 W EATON AVE
TRACY, CA 95376
San Joaquin County (209) 833-2367
JAMES TENG MD
Otolaryngology
445 W EATON AVE
TRACY, CA 95376
San Joaquin County (209) 830-4062
DR. AHMAD MICHAEL JAMALEDDINE MD
Family Medicine
445 W EATON AVE
TRACY, CA 95376
San Joaquin County (279) 600-2408
ZACHARY J WHIPPLE PA-C
Physician Assistant
445 W EATON AVE
TRACY, CA 95376
San Joaquin County (209) 830-4062

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 Tadevich's NPI number?

The NPI number for Miranda Tadevich is 1669107512. It was assigned to this individual provider in the NPPES registry on July 22, 2022. The provider is also known as Miranda Downs.

Where is Miranda Tadevich located?

Miranda Tadevich practices at 445 W Eaton Ave, Tracy, CA 95376. The listed phone number is (209) 830-4075.

What is Miranda Tadevich's specialty?

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

Is Miranda Tadevich enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Miranda Tadevich was last updated on May 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.