MIRACLE R WOODARD
NPI 1922695964
Nurse Practitioner - Family in Gautier, MS

Active since December 23, 2020PECOS EnrolledAccepts Medicare Assignment
3265 HIGHWAY 90, GAUTIER, MS 39553(228) 366-9136 Get Directions Write a Review

NPPES record last updated: March 16, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 16, 2026, Mar 21, 2025, Dec 23, 2020 (3 updates tracked since 2020).

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

NPI1922695964
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMIRACLE R WOODARD
Location Address3265 HIGHWAY 90Gautier, MS 39553-5121
Mailing AddressPo Box 7589Diberville, MS 39540-7481
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateDecember 23, 2020
Last NPPES UpdateMarch 16, 20263 updates tracked since enumeration
NPPES CertifiedMarch 16, 2026
NPI 1922695964 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses Licensed in MS · 907198 Licensed in TX · 1227864 Licensed in CT · 16329 Licensed in FL · TPAN4083 Licensed in TN · 40607
Also ListedRegistered NurseTaxonomy 163W00000X · License 913842 (MS)
3265 HIGHWAY 90, Gautier, MS 39553

Accepted 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

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.

PECOS PAC ID7113443961
PECOS Enrollment IDI20250424002827
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.

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.

New Patient
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
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 3

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

Nurse Practitioner (Family)
3265 HIGHWAY 90
GAUTIER, MS 39553
Nurse Practitioner
3265 HIGHWAY 90
GAUTIER, MS 39553
Nurse Practitioner
3265 HIGHWAY 90
GAUTIER, MS 39553

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.

What insurance does Miracle Woodard accept?

Health plans from Molina Healthcare 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 March 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.