MIRANDA NIKOLE MUSCATO (SLPD, CCC-SLP) – Speech-Language Pathologist, NPI 1497363634

MIRANDA NIKOLE MUSCATO (SLPD, CCC-SLP) is a healthcare provider. based in Winter garden, Florida. specializing in QUALIFIED SPEECH LANGUAGE PATHOLOGIST. They hold the professional credentials SLPD, CCC-SLP. They hold a License No. 16738 (FL). The NPI Number for MIRANDA NIKOLE MUSCATO (SLPD, CCC-SLP) is 1497363634

Main info

Female
Sole Proprietor
9 Years Of Experience
Accepts Medicare Assignment
Name
MIRANDA NIKOLE MUSCATO (SLPD, CCC-SLP)
NPI
1497363634
Phone
(816) 591-6214
Address
15223 EVERGREEN OAK LOOP
Enumeration Date
14 July 2020
Last Update Date
25 March 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3523940212
Graduation Year
2017 (9 years ago)
PAC ID
6103280805
Group Practice PAC ID
0840520193
Professional Enrollment ID
I20230914000040
Address ID
FL328041331OR5165XSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

570 QUALIFIED SPEECH LANGUAGE PATHOLOGIST in FL

Provider Addresses for MIRANDA NIKOLE MUSCATO (SLPD, CCC-SLP)

  • 15223 EVERGREEN OAK LOOP

    WINTER GARDEN, FL 347876429

    Phone: (816) 591-6214

    Type: Location

  • 11301 SCENIC VISTA DR

    CLERMONT, FL 347116109

    Phone: (816) 591-6214

    Type: Mailing

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: 2023-09-14

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
I20230914000040IQualified Speech Language PathologistFLTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 34787)

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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: 0840520193View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeFL
-FL
Occupational Therapist In Private PracticeFL
-FL
Occupational Therapist In Private PracticeFL
Occupational Therapist In Private PracticeNY
Qualified Speech Language PathologistFL
-FL

Reviews

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Frequently asked questions

What is the 10-digit NPI for MIRANDA NIKOLE MUSCATO (SLPD, CCC-SLP)?
MIRANDA NIKOLE MUSCATO (SLPD, CCC-SLP) — NPI 1497363634 — is the standard way to identify this listing.
Can I rely on MIRANDA NIKOLE MUSCATO (SLPD, CCC-SLP) being an active provider?
As of the registry snapshot, MIRANDA NIKOLE MUSCATO (SLPD, CCC-SLP) is marked active.
What is MIRANDA NIKOLE MUSCATO (SLPD, CCC-SLP)'s primary classification?
Speech-Language Pathologist is the headline specialty for MIRANDA NIKOLE MUSCATO (SLPD, CCC-SLP) here. Clinical services aligned with this taxonomy classification.
Does MIRANDA NIKOLE MUSCATO (SLPD, CCC-SLP) list a practice location?
Patients near Winter Garden, Florida may find MIRANDA NIKOLE MUSCATO (SLPD, CCC-SLP) in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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