MIRANDA D GRIDER (N.P.) – Nurse Practitioner, NPI 1053615013

MIRANDA D GRIDER (N.P.) is a healthcare provider. based in Colorado springs, Colorado. specializing in NURSE PRACTITIONER. They hold the professional credentials N.P.. They hold a License No. APN.0990080-NP (CO). The NPI Number for MIRANDA D GRIDER (N.P.) is 1053615013

Main info

Female
16 Years Of Experience
Accepts Medicare Assignment
Name
MIRANDA D GRIDER (N.P.)
NPI
1053615013
Phone
(719) 623-1050
Address
2446 RESEARCH PKWY
Enumeration Date
6 January 2011
Last Update Date
17 March 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2568815151
Graduation Year
2010 (16 years ago)
PAC ID
0042498875
Group Practice PAC ID
7214903723
Professional Enrollment ID
I20210727002515
Address ID
AL358021649HU4715XSEXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:15State licenses:3Digital endpointsOther names

5,201 NURSE PRACTITIONER in CO

Provider Addresses for MIRANDA D GRIDER (N.P.)

  • 2446 RESEARCH PKWY

    SUITE 200

    COLORADO SPRINGS, CO 809201087

    Phone: (719) 623-1050

    Fax: (719) 623-1052

    Type: Mailing

  • 116 BIBLE XING

    DECHERD, TN 373243886

    Phone: (319) 681-2369

    Fax: (931) 968-1241

    Type: Mailing

  • 2446 Research Pkwy

    Suite 200

    Colorado Springs, CO 809201087

    Phone: (719) 623-1050

    Fax: (719) 623-1052

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-07-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 4 Medicare enrollment records; no due dates published yet.

Enrollment records

4

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110627000693INurse PractitionerCOTBD
I20191022003928INurse PractitionerGATBD
I20201123003417INurse PractitionerTNTBD
I20210727002515INurse PractitionerALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J7325Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg3,71234$0
20610Aspiration and/or injection of fluid from large joint13876$0
99213Established patient office or other outpatient visit, 20-29 minutes11266$0
J1030Injection, methylprednisolone acetate, 40 mg7335$0
73030X-ray of shoulder, minimum of 2 views3130$0
View full utilization report →

Insurance plans in this area (ZIP 80920)

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Provider's Procedures

MIRANDA D GRIDER (N.P.) performs procedures in NURSE PRACTITIONER. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
NURSE PRACTITIONERCO20610Aspiration and/or injection of large joint or joint capsule10672

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7214903723View full group profile
NameSpecialtyState
Anesthesiology, Pain ManagementAL
Physician AssistantAL
Orthopedic SurgeryTN
Physical Therapist In Private PracticeAL
-AL
P O D I A T R YAL
Physician AssistantTN
Physical Therapist In Private PracticeAL
Nurse PractitionerAL
Orthopedic SurgeryAL

Reviews

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Frequently asked questions

What is the registry number for MIRANDA D GRIDER (N.P.)?
The registry entry for MIRANDA D GRIDER (N.P.) shows NPI 1053615013.
Is MIRANDA D GRIDER (N.P.)'s NPI status active today?
Active status means MIRANDA D GRIDER (N.P.)'s NPI record is not deactivated in the public file.
What services align with MIRANDA D GRIDER (N.P.)'s listing?
MIRANDA D GRIDER (N.P.)'s public classification highlights Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What geographic area is tied to MIRANDA D GRIDER (N.P.)?
MIRANDA D GRIDER (N.P.) is associated with Colorado Springs, Colorado in the same public data insurers reference.
Can I export MIRANDA D GRIDER (N.P.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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