DR. MIRANDA PATTERSON DC
NPI 1801480520
Chiropractor in Port Orange, FL
About Dr. Miranda Patterson Dc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MIRANDA PATTERSON DC (NPI 1801480520) is an individual chiropractor in Port Orange, Florida, licensed in Florida (CH13432) and active in the NPI registry since February 2021.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Miranda Patterson Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Miranda Patterson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Edgewater, FL 32132
- Reassigned Medicare billing, Florida enrollment
- 4 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.
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 Patterson's NPI number?
The NPI number for Miranda Patterson is 1801480520. It was assigned to this individual provider in the NPPES registry on February 23, 2021.
Where is Miranda Patterson located?
Miranda Patterson practices at 769 Kenowood Dr, Port Orange, FL 32129. The listed phone number is (704) 438-2895.
What is Miranda Patterson's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Miranda Patterson enrolled in Medicare?
Yes. Miranda Patterson is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Miranda Patterson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Miranda Patterson reassigns Medicare benefits to Edgewater Chiropractic Clinic, P.A. (Edgewater, FL). The 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 Patterson'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 Patterson was last updated on February 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Dr. Miranda Patterson, DC · NPI 1801480520
Chiropractor provider in Port Orange, Florida. Individual provider, active in the CMS NPPES registry since February 23, 2021.
## Identity
- **NPI:** 1801480520 (Entity type: Individual)
- **Enumerated:** February 23, 2021
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **State license:** CH13432 (Florida)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 769 KENOWOOD DR, Port Orange, FL 32129-4266
- **Phone:** (704) 438-2895
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** Edgewater Chiropractic Clinic, P.A. (NPI 1821421363, Edgewater, FL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 23, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1801480520) · Data from the CMS NPPES public registry.