Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

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

Active since March 13, 2023PECOS Enrolled
4309 W MEDICAL CENTER DR STE A200, MCHENRY, IL 60050(815) 759-8070(815) 759-4931 Get Directions Write a Review

NPPES record last updated: September 25, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

Record update history: Sep 25, 2026, Mar 13, 2023 (2 updates tracked since 2023).

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 Mchenry, 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 Address4309 W MEDICAL CENTER DR STE A200Mchenry, IL 60050-8437
Mailing Address4309 W Medical Center Dr Ste A200Mchenry, IL 60050-8437 · (815) 759-8070 · Fax (815) 759-4931
Fax(815) 759-4931
Sole ProprietorYes
Enumeration DateMarch 13, 2023
Last NPPES UpdateSeptember 25, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 25, 2026
✔ 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.
4309 W MEDICAL CENTER DR STE A200, Mchenry, IL 60050

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 60050 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
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.

Internal Medicine (Interventional Cardiology)
4309 W MEDICAL CENTER DR STE A200
MCHENRY, IL 60050
Internal Medicine (Cardiovascular Disease)
4309 W MEDICAL CENTER DR STE A200
MCHENRY, IL 60050
Physician Assistant
4309 W MEDICAL CENTER DR STE A200
MCHENRY, IL 60050
Clinical Nurse Specialist (Adult Health)
4309 W MEDICAL CENTER DR STE A200
MCHENRY, IL 60050
Nurse Practitioner
4309 W MEDICAL CENTER DR STE A200
MCHENRY, IL 60050
Nurse Practitioner
4309 W MEDICAL CENTER DR STE A200
MCHENRY, IL 60050
Physician Assistant
4309 W MEDICAL CENTER DR STE A200
MCHENRY, IL 60050
Nurse Practitioner
4309 W MEDICAL CENTER DR STE A200
MCHENRY, IL 60050

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 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.

Where is Mauricio Miranda located?

Mauricio Miranda practices at 4309 W Medical Center Dr Ste A200, Mchenry, IL 60050. The listed phone number is (815) 759-8070.

What is Mauricio Miranda's specialty?

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

Is Mauricio Miranda enrolled in Medicare?

Yes. Mauricio Miranda is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mauricio Miranda was last updated on September 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.