MIRANDA FITZPATRICK (FNP) – Nurse Practitioner, NPI 1821509241
Nurse Practitioner
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
9,652 NURSE PRACTITIONER in GA
Provider Addresses for MIRANDA FITZPATRICK (FNP)
415 Pendleton Pl
Valdosta, GA 316022632
Phone: (470) 307-1210
Fax: (866) 711-2861
Type: Location
351 Royal Ct
Jackson, GA 302337012
Phone: (217) 621-9872
Type: Location
2501 N Ashley St
Valdosta, GA 31602
Phone: (229) 244-7368
Type: Location
2501, North Ashley Street, Five Points, Valdosta, Lowndes County, Georgia, 31602, United States
VALDOSTA, GA 316021820
Phone:
Type: Mailing
807 CHEROKEE DR STE 5
MARSHALL, MO 653401690
Phone: (660) 202-4227
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: 2024-10-24
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20180705001188 | I | Nurse Practitioner | GA | TBD |
| I20241024002168 | I | Nurse Practitioner | MO | TBD |
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.
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 31602)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | MO | |
| Certified Clinical Nurse Specialist (Cns) | MO | |
| Internal Medicine, Geriatric Medicine | MO | |
| Family Practice | MO | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | MO | |
| Hospitalist, Internal Medicine | CA |
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