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COREY MIRACLE
NPI 1770302499
Nurse Practitioner - Family in Bowling Green, OH

Active since October 09, 2024PECOS EnrolledAccepts Medicare Assignment
950 W WOOSTER ST, BOWLING GREEN, OH 43402(419) 354-8900 Get Directions Write a Review

NPPES record last updated: October 9, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Corey Miracle NPPES

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

COREY MIRACLE (NPI 1770302499) is an individual family provider in Bowling Green, Ohio, licensed in Ohio (0037699) and active in the NPI registry since October 2024. He is enrolled in Medicare PECOS, is affiliated with Promedica Toledo Hospital, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1770302499
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameCOREY MIRACLE
Location Address950 W WOOSTER STBowling Green, OH 43402-2699
Mailing Address950 W Wooster StBowling Green, OH 43402-2699
Phone(419) 354-8900
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateOctober 9, 2024
NPPES CertifiedOctober 9, 2024
✔ NPI 1770302499 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 OH · 0037699
950 W WOOSTER ST, Bowling Green, OH 43402
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Care Network of Michigan, CareSource and more.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

Corey Miracle 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 ID8022538396
PECOS Enrollment IDI20250218001435
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

2

Medicare enrollment records show Corey Miracle reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ultimate Care Emergency Physicians LLC
Same address
Emergency Medicine
950 W WOOSTER ST
Bowling Green, OH 43402
  • Reassigned Medicare billing, Ohio enrollment
  • 23 clinicians in this Medicare group
NPI 1083202816 (419) 354-8900
Promedica Central Physicians
20 mi
Family Medicine
100 MADISON AVE, MSC-S38805
Toledo, OH 43604
  • Reassigned Medicare billing, Ohio enrollment
  • 1,072 clinicians in this Medicare group
NPI 1043270150 (567) 585-1964

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.

Promedica Toledo Hospital

Acute Care Hospitals · Toledo, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360068
Location2142 North Cove BoulevardToledo, OH 43606 · Lucas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43402 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

WILFREDO D PACIO, MD INC.
Pathology (Anatomic Pathology & Clinical Pathology)
950 W WOOSTER ST
BOWLING GREEN, OH 43402
Wood County (419) 353-5582
MS. KINSY MILLER R.D., L.D.
Dietitian, Registered
950 W WOOSTER ST
BOWLING GREEN, OH 43402
Wood County (419) 354-8900
CLINTON ERICKSON MD
Emergency Medicine
950 W WOOSTER ST
BOWLING GREEN, OH 43402
Wood County (419) 354-9810
WOOD ANESTHESIA & PAIN TREATMENT, LLC
Anesthesiology
950 W WOOSTER ST
BOWLING GREEN, OH 43402
Wood County (419) 354-8900
WOOD COUNTY EMERGENCY PHYSICIANS INC
Emergency Medicine
950 W WOOSTER ST
BOWLING GREEN, OH 43402
Wood County (800) 875-0136
ULTIMATE CARE EMERGENCY PHYSICIANS LLC
Emergency Medicine
950 W WOOSTER ST
BOWLING GREEN, OH 43402
Wood County (419) 354-8900
BRYAN KEITH MIKSANEK MD
Emergency Medicine
950 W WOOSTER ST
BOWLING GREEN, OH 43402
Wood County (419) 354-9810
MARSHA LYNNE CUSHMAN DO
Emergency Medicine
950 W WOOSTER ST
BOWLING GREEN, OH 43402
Wood County (419) 354-9810

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 Corey Miracle's NPI number?

The NPI number for Corey Miracle is 1770302499. It was assigned to this individual provider in the NPPES registry on October 9, 2024.

Where is Corey Miracle located?

Corey Miracle practices at 950 W Wooster St, Bowling Green, OH 43402. The listed phone number is (419) 354-8900.

What is Corey Miracle's specialty?

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

Is Corey Miracle enrolled in Medicare?

Yes. Corey Miracle 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 Corey Miracle's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Corey Miracle reassigns Medicare benefits to 2 organizations: Ultimate Care Emergency Physicians LLC (Bowling Green, OH) and Promedica Central Physicians (Toledo, OH). 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 Corey Miracle's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Corey Miracle accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Care Network of Michigan, CareSource, MedMutual and Priority Health list Corey Miracle 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 Corey Miracle affiliated with any hospitals?

According to CMS data, Corey Miracle is affiliated with Promedica Toledo Hospital.

When was this NPI record last updated?

The NPPES record for Corey Miracle was last updated on October 9, 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.