MIRANDA LEA HOLSONBACK CRNA
NPI 1710797980
Nurse Anesthetist, Certified Registered in Irving, TX

Q: What is Miranda Holsonback's NPI number?

The NPI number for Miranda Holsonback is 1710797980. It was assigned to this individual provider in the NPPES registry on January 9, 2025.

Q: What is Miranda Holsonback's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Active since January 09, 2025Accepts Medicare Assignment

6225 N STATE HIGHWAY 161 STE 200, IRVING, TX 75038(214) 687-0001 Get Directions Write a Review

NPPES record last updated: April 23, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Miranda Lea Holsonback Crna NPPES

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

MIRANDA LEA HOLSONBACK CRNA (NPI 1710797980) is an individual nurse anesthetist, certified registered in Irving, Texas, licensed in Texas (1020393) and active in the NPI registry since January 2025. She is affiliated with Corewell Health Gerber Hospital and is a graduate of Other (2024).

NPPES Registry Identity

NPI1710797980

Entity TypeIndividualFemale

Primary Taxonomy367500000X

Provider Legal NameMIRANDA LEA HOLSONBACKCredential: CRNA

Location Address6225 N STATE HIGHWAY 161 STE 200Irving, TX 75038-2241

Mailing Address6225 N State Highway 161 Ste 200Irving, TX 75038-2241 · (214) 687-0001

Phone(214) 687-0001

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateJanuary 9, 2025

Last NPPES UpdateApril 23, 2025

NPPES CertifiedApril 23, 2025

✔ NPI 1710797980 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

License✔ Licensed in TX · 1020393

Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

Also ListedRegistered NurseTaxonomy 163W00000X · License 1020393 (TX)

6225 N STATE HIGHWAY 161 STE 200, Irving, TX 75038

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross and Blue Shield of Texas, Blue Cross Blue Shield of Michigan Mutual Insurance Company.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 Lea Holsonback Crna 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 ID9335665629

PECOS Enrollment IDI20250429004054, I20251016002645

Medicare Billing Reassignments

Medicare enrollment records show Miranda Holsonback reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Northstar Anesthesia Of Michigan II PC

Same address

Anesthesiology

6225 N STATE HIGHWAY 161 STE 200
Irving, TX 75038

Reassigned Medicare billing, Michigan enrollment
283 clinicians in this Medicare group

NPI 1437268026 (214) 687-0001

Northstar Anesthesia, PA

11 mi

Anesthesiology

2000 E LAMAR BLVD, SUITE 400
Arlington, TX 76006

Reassigned Medicare billing, Texas enrollment
1,164 clinicians in this Medicare group

NPI 1912978610 (817) 861-3994

Trinity Medical Associates, PLLC.

26 mi

Anesthesiology

3023 SOUTH UNIVERSITY DRIVE, SUITE 135
Fort Worth, TX 76109

Reassigned Medicare billing, Texas enrollment
47 clinicians in this Medicare group

NPI 1932611654 (765) 284-0493

Northstar Anesthesia III PA

359 mi

Anesthesiology

7101 S PADRE ISLAND DR
Corpus Christi, TX 78412

Reassigned Medicare billing, Texas enrollment
740 clinicians in this Medicare group

NPI 1356968952 (214) 687-0001

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.

Corewell Health Gerber Hospital

Critical Access Hospitals · Fremont, MI

OwnershipVoluntary non-profit - Private

CMS Certification Number231338

Location212 S Sullivan StFremont, MI 49412 · Newaygo County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75038 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

$131.01 typical visit price

range $57.18 – $172.86

Typical copayment $32.75 (range $14.29 – $43.21)

Most-billed visit code 99204

Established Patient

$71.28 typical visit price

range $18.48 – $141.20

Typical copayment $17.82 (range $4.62 – $35.30)

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 20

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

KYLIE NICOLE WARREN

Registered Nurse