MIRIAM E DOWNEY FNP-C
NPI 1861469389
Nurse Practitioner - Family in Nogales, AZ
About Miriam E Downey Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MIRIAM E DOWNEY FNP-C (NPI 1861469389) is an individual family provider in Nogales, Arizona, licensed in Arizona (RN091574) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2002).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted 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
Miriam E Downey Fnp-c 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.
Medicare Billing Reassignments
17Medicare enrollment records show Miriam Downey reassigns Medicare billing to 17 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Sierra Vista, AZ 85635
- Reassigned Medicare billing, Arizona enrollment
- 239 clinicians in this Medicare group
Tucson, AZ 85747
- Reassigned Medicare billing, Arizona enrollment
- 1,514 clinicians in this Medicare group
Tucson, AZ 85756
- Reassigned Medicare billing, Arizona enrollment
- 96 clinicians in this Medicare group
Benson, AZ 85602
- Reassigned Medicare billing, Arizona enrollment
- 152 clinicians in this Medicare group
Tucson, AZ 85712
- Reassigned Medicare billing, Arizona enrollment
- 121 clinicians in this Medicare group
Tucson, AZ 85704
- Reassigned Medicare billing, Arizona enrollment
- 99 clinicians in this Medicare group
Sacaton, AZ 85147
- Reassigned Medicare billing, Texas enrollment
- 482 clinicians in this Medicare group
Bylas, AZ 85530
- Reassigned Medicare billing, Texas enrollment
- 438 clinicians in this Medicare group
Maricopa, AZ 85139
- Reassigned Medicare billing, Arizona enrollment
- 159 clinicians in this Medicare group
Mesa, AZ 85206
- Reassigned Medicare billing, Arizona enrollment
- 289 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.
Areas of Expertise CMS Part B claims 3
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 85621 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
NOGALES, AZ 85621
NOGALES, AZ 85621
NOGALES, AZ 85621
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 Miriam Downey's NPI number?
The NPI number for Miriam Downey is 1861469389. It was assigned to this individual provider in the NPPES registry on March 2, 2006.
Where is Miriam Downey located?
Miriam Downey practices at 1209 W Target Range Rd, Nogales, AZ 85621. The listed phone number is (520) 287-4747.
What is Miriam Downey's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Miriam Downey enrolled in Medicare?
Yes. Miriam Downey 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 Miriam Downey's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Miriam Downey reassigns Medicare benefits to 17 organizations: Sound Physicians Emergency Medicine Of Arizona, Inc. (Sierra Vista, AZ), Banner-University Medical Group (Tucson, AZ), Cep America-Arizona LLP (Tucson, AZ), Benson Hospital Corporation (Benson, AZ), Ies Arizona PLLC (Tucson, AZ) and 12 more organizations, listed in the Medicare section above. 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 Miriam Downey's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Miriam Downey accept?
Health plans from Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc. and Oscar Health Plan, Inc. list Miriam Downey 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.
When was this NPI record last updated?
The NPPES record for Miriam Downey was last updated on May 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.
# Miriam E Downey, FNP-C · NPI 1861469389
Family physician in Nogales, Arizona. Individual provider, active in the CMS NPPES registry since March 2, 2006.
## Identity
- **NPI:** 1861469389 (Entity type: Individual)
- **Enumerated:** March 2, 2006
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** RN091574 (Arizona)
- **Sole proprietor:** No
## Practice location
- **Address:** 1209 W TARGET RANGE RD, Nogales, AZ 85621-2466
- **Phone:** (520) 287-4747 · **Fax:** (520) 285-3135
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 17 organizations under Medicare reassignment (form CMS-855R): Sound Physicians Emergency Medicine Of Arizona, Inc. (NPI 1700328663, Sierra Vista, AZ); Banner-University Medical Group (NPI 1508673682, Tucson, AZ); Cep America-Arizona LLP (NPI 1841021581, Tucson, AZ); Benson Hospital Corporation (NPI 1336118322, Benson, AZ); Ies Arizona PLLC (NPI 1821752213, Tucson, AZ); and 12 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2002
## Record status
- **NPPES last updated:** May 15, 2025
- **Other identifiers:** Medicaid 708266 (AZ)
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Source: [NPI Profile](https://npiprofile.com/npi/1861469389) · Data from the CMS NPPES public registry.