MAURICIO JUNIOR MIRANDA PA-C
NPI 1982305462
Physician Assistant in Wauconda, IL

Q: What is Mauricio Miranda's NPI number?

The NPI number for Mauricio Miranda is 1982305462. It was assigned to this individual provider in the NPPES registry on March 13, 2023.

Q: What is Mauricio Miranda's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Mauricio Miranda was last updated on September 21, 2023. 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.

Active since March 13, 2023PECOS Enrolled

431 W LIBERTY ST, WAUCONDA, IL 60084(847) 526-2151(847) 526-2017 Get Directions Write a Review

NPPES record last updated: September 21, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mauricio Junior Miranda Pa-c NPPES

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

MAURICIO JUNIOR MIRANDA PA-C (NPI 1982305462) is an individual physician assistant in Wauconda, Illinois, licensed in Illinois (085009878) and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1982305462

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameMAURICIO JUNIOR MIRANDACredential: PA-C

Location Address431 W LIBERTY STWauconda, IL 60084-2452

Mailing AddressPo Box 6037Wauconda, IL 60084-6037 · (847) 526-2151 · Fax (847) 526-2017

Phone(847) 526-2151

Fax(847) 526-2017

Sole ProprietorYes

Enumeration DateMarch 13, 2023

Last NPPES UpdateSeptember 21, 2023

NPPES CertifiedSeptember 21, 2023

✔ NPI 1982305462 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in IL · 085009878

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

431 W LIBERTY ST, Wauconda, IL 60084

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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)

Mauricio Junior Miranda Pa-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.

Areas of Expertise CMS Part B claims

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

12 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60084 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

$93.02 typical visit price

range $59.81 – $181.38

Typical copayment $23.25 (range $14.95 – $45.34)

Most-billed visit code 99203

Established Patient

$74.38 typical visit price

range $19.15 – $147.12

Typical copayment $18.59 (range $4.78 – $36.78)

Most-billed visit code 99213

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 20

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

KRISTINE M REDMOND APRN, NP-C

Nurse Practitioner (Family)