MARY ANNE MIRANDA NP-C
NPI 1942492897
Nurse Practitioner - Adult Health in Port Jefferson Station, NY

Q: What is Mary Anne Miranda's NPI number?

The NPI number for Mary Anne Miranda is 1942492897. It was assigned to this individual provider in the NPPES registry on August 14, 2007.

Q: What is Mary Anne Miranda's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Mary Anne Miranda was last updated on January 13, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since August 14, 2007PECOS Enrolled

931 HALLOCK AVE, PORT JEFFERSON STATION, NY 11776(631) 331-7200 Get Directions Write a Review

NPPES record last updated: January 13, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mary Anne Miranda Np-c NPPES

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

MARY ANNE MIRANDA NP-C (NPI 1942492897) is an individual adult health provider in Port Jefferson Station, New York, licensed in New York (F304650) and active in the NPI registry since August 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1942492897

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameMARY ANNE MIRANDACredential: NP-C

Location Address931 HALLOCK AVEPort Jefferson Station, NY 11776-1228

Mailing Address7 Elm StCentral Islip, NY 11722-4111 · (631) 232-1572

Phone(631) 331-7200

Sole ProprietorYes

Enumeration DateAugust 14, 2007

Last NPPES UpdateJanuary 13, 2014

✔ NPI 1942492897 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in NY · F304650

931 HALLOCK AVE, Port Jefferson Station, NY 11776

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary Anne Miranda Np-c 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11776 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

$105.06 typical visit price

range $67.40 – $203.53

Typical copayment $26.26 (range $16.85 – $50.88)

Most-billed visit code 99203

Established Patient

$117.62 typical visit price

range $21.66 – $164.45

Typical copayment $29.40 (range $5.41 – $41.11)

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 9

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

UMA NARAYANA NURSE PRACTITIONER

Nurse Practitioner (Adult Health)