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MIRANDA FITZPATRICK FNP
NPI 1821509241
Nurse Practitioner in Marshall, MO

Active since October 12, 2017PECOS Enrolled
807 CHEROKEE DR STE 5, MARSHALL, MO 65340(660) 202-4227 Get Directions Write a Review

NPPES record last updated: April 10, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 10, 2024, Feb 10, 2023, Oct 30, 2019 and 3 more (6 updates tracked since 2017).

About Miranda Fitzpatrick Fnp NPPES

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

MIRANDA FITZPATRICK FNP (NPI 1821509241) is an individual nurse practitioner in Marshall, Missouri, licensed in Missouri (2024006900) and active in the NPI registry since October 2017. She is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1821509241
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMIRANDA FITZPATRICKCredential: FNP
Location Address807 CHEROKEE DR STE 5Marshall, MO 65340-1690
Mailing Address807 Cherokee Dr Ste 5Marshall, MO 65340-1690 · (660) 202-4227
Phone(660) 202-4227
Sole ProprietorYes
Enumeration DateOctober 12, 2017
Last NPPES UpdateApril 10, 20246 updates tracked since enumeration
NPPES CertifiedApril 10, 2024
✔ NPI 1821509241 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in MO · 2024006900
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedRegistered NurseTaxonomy 163W00000X · License RN245226 (GA)
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License RN245226 (GA)
807 CHEROKEE DR STE 5, Marshall, MO 65340
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Other Names 1

Former Name (1)Miranda Watson Aprn

Secondary Practice Locations 3

Location 1415 Pendleton PlValdosta, GA 31602-2632 · Phone (470) 307-1210 · Fax (866) 711-2861
Location 22501 N Ashley StValdosta, GA 31602 · Phone (229) 244-7368
Location 3351 Royal CtJackson, GA 30233-7012 · Phone (217) 621-9872

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Miranda Fitzpatrick Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Miranda Fitzpatrick reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pruitthealth Physicians Services, LLC
617 mi
Internal Medicine
1626 JEURGENS CT
Norcross, GA 30093
  • Reassigned Medicare billing, Georgia enrollment
  • 78 clinicians in this Medicare group
NPI 1043676299 (770) 279-6200
The Hemlock Pain Center, LLC
680 mi
Anesthesiology
101 PRESTON COURT, SUITE 103
Macon, GA 31210
  • Reassigned Medicare billing, Georgia enrollment
  • 11 clinicians in this Medicare group
NPI 1821047069 (478) 745-2385

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65340 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
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$93.24 typical visit price
range $16.30 – $131.05
Typical copayment $23.31 (range $4.07 – $32.76)
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

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

MARATHON HEALTH, LLC
Nurse Practitioner
807 CHEROKEE DR STE 5
MARSHALL, MO 65340
Saline County (660) 202-4227

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 Fitzpatrick's NPI number?

The NPI number for Miranda Fitzpatrick is 1821509241. It was assigned to this individual provider in the NPPES registry on October 12, 2017. The provider is also known as Miranda Watson Aprn.

Where is Miranda Fitzpatrick located?

Miranda Fitzpatrick practices at 807 Cherokee Dr Ste 5, Marshall, MO 65340. The listed phone number is (660) 202-4227.

What is Miranda Fitzpatrick's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Miranda Fitzpatrick enrolled in Medicare?

Yes. Miranda Fitzpatrick is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Miranda Fitzpatrick's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Miranda Fitzpatrick reassigns Medicare benefits to 2 organizations: Pruitthealth Physicians Services, LLC (Norcross, GA) and The Hemlock Pain Center, LLC (Macon, GA). 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 Fitzpatrick'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 Fitzpatrick was last updated on April 10, 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.