SUSANNA MIRANDA (DNP, APRN, AGNP-C) – Nurse Practitioner, NPI 1831118512

SUSANNA MIRANDA (DNP, APRN, AGNP-C) is a healthcare provider. based in Chicago, Illinois. specializing in NURSE PRACTITIONER. They hold the professional credentials DNP, APRN, AGNP-C. They hold a License No. 041-332458 (IL). The NPI Number for SUSANNA MIRANDA (DNP, APRN, AGNP-C) is 1831118512

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
SUSANNA MIRANDA (DNP, APRN, AGNP-C)
NPI
1831118512
Phone
(312) 695-8900
Address
676 N SAINT CLAIR ST FL 19
Enumeration Date
19 July 2006
Last Update Date
2 July 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2017 (9 years ago)
PAC ID
3072842715
Group Practice PAC ID
4587576814
Professional Enrollment ID
I20190905003437
Address ID
IL606412808CH4445XRDXX500
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience80
Completeness75
Years active:19State licenses:3Digital endpointsOther names

11,637 NURSE PRACTITIONER in IL

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Provider Addresses for SUSANNA MIRANDA (DNP, APRN, AGNP-C)

  • 676 N SAINT CLAIR ST FL 19

    CHICAGO, IL 606112927

    Phone: (312) 695-8900

    Fax: (312) 695-7752

    Type: Mailing

  • Shirley Ryan AbilityLab, 355, East Erie Street, Streeterville, Near North Side, Chicago, Cook County, Illinois, 60611, United States

    CHICAGO, IL 60611

    Phone: (312) 238-1000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $445.

Total Amount is formed as General ($445) + Research ($0) + Ownership ($0) = $445.

Last reported payment date: 2024-11-17 • Largest payer in this snapshot: Gilead Sciences, Inc. ($301).

Total Amount

$445

General + Research + Ownership

Payments

7

Total payment records

General Amount

$445

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-17

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2019-09-05

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
I20190905003437INurse 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
99213Established patient office or other outpatient visit, 20-29 minutes10386$0
20610Aspiration and/or injection of fluid from large joint7961$0
99214Established patient office or other outpatient visit, 30-39 minutes7767$0
99215Established patient office or other outpatient visit, 40-54 minutes6363$0
99203New patient office or other outpatient visit, 30-44 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 60611)

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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: 4587576814View full group profile
NameSpecialtyState
-IL
Diagnostic Radiology, Interventional RadiologyIL
P A T H O L O G YIL
Interventional Cardiology, Cardiovascular Disease (Cardiology), Internal MedicineIL
Internal MedicineIL
G A S T R O E N T E R O L O G YIL
Internal MedicineIL
Cardiac Electrophysiology, Cardiovascular Disease (Cardiology), Internal MedicineMN
-IL
A N E S T H E S I O L O G YMI

Reviews

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Frequently asked questions

Does SUSANNA MIRANDA (DNP, APRN, AGNP-C) have a public NPI I can cite?
Public records show SUSANNA MIRANDA (DNP, APRN, AGNP-C) under NPI 1831118512.
Is SUSANNA MIRANDA (DNP, APRN, AGNP-C)'s NPI status active today?
Active status means SUSANNA MIRANDA (DNP, APRN, AGNP-C)'s NPI record is not deactivated in the public file.
How should patients interpret SUSANNA MIRANDA (DNP, APRN, AGNP-C)'s specialty?
The extract shows Nurse Practitioner for SUSANNA MIRANDA (DNP, APRN, AGNP-C). Clinical services aligned with this taxonomy classification.
What geographic area is tied to SUSANNA MIRANDA (DNP, APRN, AGNP-C)?
SUSANNA MIRANDA (DNP, APRN, AGNP-C) is associated with Chicago, Illinois in the same public data insurers reference.
Who maintains SUSANNA MIRANDA (DNP, APRN, AGNP-C)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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