MIRANDA TADEVICH
NPI 1669107512
Nurse Practitioner - Family in Tracy, CA
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
Specialties & Licenses 2
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Miranda Tadevich is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Miranda Tadevich reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Modesto, CA 95355
- Reassigned Medicare billing, California enrollment
- 3,056 clinicians in this Medicare group
Brighton, CO 80601
- Reassigned Medicare billing, Colorado enrollment
- 32 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.
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.
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.
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.
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.
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.
Which organizations bill Medicare for Miranda Tadevich's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Miranda Tadevich reassigns Medicare benefits to 2 organizations: Sutter Valley Medical Foundation (Modesto, CA) and Advanced Urgent Care LLC (Brighton, CO). 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 Tadevich's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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.
# Miranda Tadevich · NPI 1669107512
Family physician in Tracy, California. Individual provider, active in the CMS NPPES registry since July 22, 2022.
## Identity
- **NPI:** 1669107512 (Entity type: Individual)
- **Enumerated:** July 22, 2022
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** NP95029206 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 445 W EATON AVE, Tracy, CA 95376-3420
- **Phone:** (209) 830-4075
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Sutter Valley Medical Foundation (NPI 1669846986, Modesto, CA); Advanced Urgent Care LLC (NPI 1841579703, Brighton, CO) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 20, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1669107512) · Data from the CMS NPPES public registry.