CORRIN MIRANDA (FNP) – Adult Health Nurse Practitioner, NPI 1306370838

CORRIN MIRANDA (FNP) is a healthcare provider. based in Mchenry, Illinois. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 209015832 (IL). The NPI Number for CORRIN MIRANDA (FNP) is 1306370838

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
CORRIN MIRANDA (FNP)
NPI
1306370838
Phone
(815) 363-9900
Address
3901 Mercy Dr
Enumeration Date
11 April 2017
Last Update Date
7 March 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8473622900
Graduation Year
2016 (10 years ago)
PAC ID
5698039162
Group Practice PAC ID
5799687372
Professional Enrollment ID
I20190619000484
Address ID
IL600483204LI801XXAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:9State licenses:1Digital endpointsOther names

11,632 NURSE PRACTITIONER in IL

Provider Addresses for CORRIN MIRANDA (FNP)

  • 3901 Mercy Dr

    McHenry, IL 600503151

    Phone: (815) 363-9900

    Type: Location

  • 3880, Salem Lake Drive, Long Grove, Lake County, Illinois, 60047, United States

    LONG GROVE, IL 600475292

    Phone: (847) 719-2220

    Fax: (847) 719-2265

    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: 2019-06-19

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
I20190619000484INurse PractitionerILTBD

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
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes2012$0
View full utilization report →

Insurance plans in this area (ZIP 60050)

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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: 5799687372View full group profile
NameSpecialtyState
Internal MedicineIL
Internal MedicineIL
Nurse PractitionerIL
Family PracticeIL
Family PracticeIL
Internal MedicineIL
Internal MedicineIL
Internal MedicineIL
-IL
Nurse PractitionerIL

Reviews

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Frequently asked questions

Does CORRIN MIRANDA (FNP) have a public NPI I can cite?
Public records show CORRIN MIRANDA (FNP) under NPI 1306370838.
Should I treat CORRIN MIRANDA (FNP) as an active provider?
Patients and plans typically see CORRIN MIRANDA (FNP) as active in the national extract.
What type of care does CORRIN MIRANDA (FNP) provide?
CORRIN MIRANDA (FNP)'s profile centers on Adult Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Can patients visit CORRIN MIRANDA (FNP) in Mchenry, Illinois?
For routing, start with Mchenry, Illinois for CORRIN MIRANDA (FNP), then verify phone and hours locally.
Who maintains CORRIN MIRANDA (FNP)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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