ELTON GENE MIRANDA (APRN) – Nurse Practitioner, NPI 1225436587

ELTON GENE MIRANDA (APRN) is a healthcare provider. based in Daytona beach, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. APRN9271273 (FL). The NPI Number for ELTON GENE MIRANDA (APRN) is 1225436587

Main info

Male
12 Years Of Experience
Accepts Medicare Assignment
Name
ELTON GENE MIRANDA (APRN)
NPI
1225436587
Phone
(386) 255-4596
Address
1075 MASON AVE
Enumeration Date
18 December 2014
Last Update Date
20 November 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3862554596
Graduation Year
2014 (12 years ago)
PAC ID
8628393816
Group Practice PAC ID
9335123504
Professional Enrollment ID
I20150210002013
Address ID
FL321177108DA1865XBLVD300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness75
Years active:11State licenses:1Digital endpointsOther names

24,232 NURSE PRACTITIONER in FL

Provider Addresses for ELTON GENE MIRANDA (APRN)

  • 1075 MASON AVE

    DAYTONA BEACH, FL 321174611

    Phone: (386) 255-4596

    Fax: (386) 258-3561

    Type: Mailing

  • 17 Old Kings Rd N Ste K

    Palm Coast, FL 321378283

    Phone: (386) 255-4596

    Fax: (386) 258-3561

    Type: Location

  • 1165 Dunlawton Ave Ste 102

    Port Orange, FL 321272924

    Phone: (386) 255-4596

    Fax: (386) 258-3561

    Type: Location

  • 1890 Lpga Blvd Ste 240

    Daytona Beach, FL 321177131

    Phone: (386) 255-4596

    Fax: (386) 258-3561

    Type: Location

  • 1075 Mason Ave

    Daytona Beach, FL 321174611

    Phone: (386) 255-4596

    Fax: (386) 258-3561

    Type: Location

  • 1175 Dunlawton Ave Ste 1

    Port Orange, FL 321274741

    Phone: (386) 255-4596

    Fax: (386) 258-3561

    Type: Location

  • 1865 LPGA BLVD

    DAYTONA BEACH, FL 321177108

    Phone: (386) 255-4596

    Fax: (386) 258-3561

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $19.

Total Amount is formed as General ($19) + Research ($0) + Ownership ($0) = $19.

Last reported payment date: 2023-06-16 • Largest payer in this snapshot: Stryker Corporation ($19).

Total Amount

$19

General + Research + Ownership

Payments

1

Total payment records

General Amount

$19

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-06-16

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Stryker Corporation$19
View all Open Payments →|Open Payments Risk Radar →

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: 2015-02-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20150210002013INurse PractitionerFLTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes8777$0
J0702Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg4619$0
20610Aspiration and/or injection of fluid from large joint3527$0
73562X-ray of knee, 3 views2725$0
27447Replacement of knee joint, both sides of knee2727$0
View full utilization report →

Insurance plans in this area (ZIP 32117)

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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: 9335123504View full group profile
NameSpecialtyState
Orthopedic SurgeryFL
Orthopedic SurgeryFL
Orthopedic SurgeryFL
Physical Therapist In Private PracticeFL
Physician AssistantFL
Physical Therapist In Private PracticeFL
Nurse PractitionerFL
Physician AssistantFL
Orthopedic SurgeryFL
Occupational Therapist In Private PracticeFL

Reviews

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Frequently asked questions

How do I look up ELTON GENE MIRANDA (APRN) by NPI?
Use NPI 1225436587 when you need to reference ELTON GENE MIRANDA (APRN) in forms, claims, or directories.
Is ELTON GENE MIRANDA (APRN)'s NPI currently valid?
The extract we use shows ELTON GENE MIRANDA (APRN) as active.
What kind of provider is ELTON GENE MIRANDA (APRN)?
The page reflects Nurse Practitioner for ELTON GENE MIRANDA (APRN). Clinical services aligned with this taxonomy classification.
What location metadata exists for ELTON GENE MIRANDA (APRN)?
The page summarizes Daytona Beach, Florida for ELTON GENE MIRANDA (APRN); expand the address list for detail.
What if Daytona Beach, Florida seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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