DR. LUCINDA STEPHANIE MIRRA DO
NPI 1780906354
Obstetrics & Gynecology in Wilkes Barre, PA

Q: What is Lucinda Mirra's NPI number?

The NPI number for Lucinda Mirra is 1780906354. It was assigned to this individual provider in the NPPES registry on February 23, 2010.

Q: What is Lucinda Mirra's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Lucinda Mirra was last updated on August 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since February 23, 2010PECOS EnrolledAccepts Medicare Assignment

1155 E MOUNTAIN BLVD, WILKES BARRE, PA 18702(570) 808-7916(570) 808-6006 Get Directions Write a Review

NPPES record last updated: August 6, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 6, 2020, Sep 27, 2018 (2 updates tracked since 2018).

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About Dr. Lucinda Stephanie Mirra Do NPPES

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

DR. LUCINDA STEPHANIE MIRRA DO (NPI 1780906354) is an individual obstetrics & gynecology provider in Wilkes Barre, Pennsylvania, licensed in Pennsylvania (OS014131) and active in the NPI registry since February 2010. She is enrolled in Medicare PECOS, is affiliated with Geisinger Wyoming Valley Medical Center, and is a graduate of Lake Erie College Of Osteopathic Medicine, Erie (2005).

NPPES Registry Identity

NPI1780906354

Entity TypeIndividualFemale

Primary Taxonomy207V00000X

Provider Legal NameDR. LUCINDA STEPHANIE MIRRACredential: DO

Location Address1155 E MOUNTAIN BLVDWilkes Barre, PA 18702-7906

Mailing Address100 N Academy AveDanville, PA 17822-4903 · (570) 271-6144 · Fax (570) 271-6578

Phone(570) 808-7916

Fax(570) 808-6006

Sole ProprietorNo

Medical School CMSLake Erie College Of Osteopathic Medicine, ErieGraduated 2005

Enumeration DateFebruary 23, 2010

Last NPPES UpdateAugust 6, 20202 updates tracked since enumeration

NPPES CertifiedAugust 6, 2020

✔ NPI 1780906354 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in PA · OS014131

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

1155 E MOUNTAIN BLVD, Wilkes Barre, PA 18702

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Lucinda Stephanie Mirra Do 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 ID9436280898

PECOS Enrollment IDI20100629000088

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.

Hospital Affiliations CMS Care Compare

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

Geisinger Wyoming Valley Medical Center

Acute Care Hospitals · Wilkes Barre, PA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390270

Location1000 East Mountain BoulevardWilkes Barre, PA 18711 · Luzerne County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18702 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

$126.34 typical visit price

range $54.64 – $166.87

Typical copayment $31.58 (range $13.66 – $41.71)

Most-billed visit code 99204

Established Patient

$68.36 typical visit price

range $17.33 – $135.84

Typical copayment $17.09 (range $4.33 – $33.96)

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.

MRS. CAROLYN TERESA CLARK RN BSN

Registered Nurse