MIRACLE R WOODARD
NPI 1922695964
Nurse Practitioner - Family in Gautier, MS
About Miracle R Woodard NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MIRACLE R WOODARD (NPI 1922695964) is an individual family provider in Gautier, Mississippi, licensed in Mississippi (907198) and active in the NPI registry since December 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses 3
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
Miracle R Woodard 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
3Medicare enrollment records show Miracle Woodard reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Biloxi, MS 39531
- Reassigned Medicare billing, Mississippi enrollment
Hoover, AL 35216
- Reassigned Medicare billing, Mississippi enrollment
- 207 clinicians in this Medicare group
Ripley, MS 38663
- Reassigned Medicare billing, Mississippi enrollment
- 463 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 39553 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Miracle Woodard's NPI number?
The NPI number for Miracle Woodard is 1922695964. It was assigned to this individual provider in the NPPES registry on December 23, 2020.
Where is Miracle Woodard located?
Miracle Woodard practices at 3265 Highway 90, Gautier, MS 39553. The listed phone number is (228) 366-9136.
What is Miracle Woodard's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Miracle Woodard enrolled in Medicare?
Yes. Miracle Woodard 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 Miracle Woodard's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Miracle Woodard reassigns Medicare benefits to 3 organizations: Virtual Care Remedy, PLLC (Biloxi, MS), Upperline Healthcare, PC (Hoover, AL) and Fast Pace Mississippi, PLLC (Ripley, MS). 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 Miracle Woodard's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Miracle Woodard accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 1 other insurer list Miracle Woodard 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 Miracle Woodard was last updated on September 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 47 days 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.
# Miracle R Woodard · NPI 1922695964
Family physician in Gautier, Mississippi. Individual provider, active in the CMS NPPES registry since December 23, 2020.
## Identity
- **NPI:** 1922695964 (Entity type: Individual)
- **Enumerated:** December 23, 2020
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 907198 (Mississippi)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3265 HIGHWAY 90, Gautier, MS 39553-5121
- **Phone:** (228) 366-9136
## 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:** 3 organizations under Medicare reassignment (form CMS-855R): Virtual Care Remedy, PLLC (NPI 1366389884, Biloxi, MS); Upperline Healthcare, PC (NPI 1538686498, Hoover, AL); Fast Pace Mississippi, PLLC (NPI 1447769559, Ripley, MS) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** September 22, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1922695964) · Data from the CMS NPPES public registry.