MIRANDA MARSHALL (FNP) – Family Nurse Practitioner, NPI 1245876242

MIRANDA MARSHALL (FNP) is a healthcare provider. based in Saint johns, Michigan. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 183598 (AK). The NPI Number for MIRANDA MARSHALL (FNP) is 1245876242

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
MIRANDA MARSHALL (FNP)
NPI
1245876242
Phone
(989) 224-3000
Address
1005 S US HIGHWAY 27 STE 100
Enumeration Date
25 November 2019
Last Update Date
19 March 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9072479999
Graduation Year
2019 (7 years ago)
PAC ID
1153758586
Group Practice PAC ID
7012926629
Professional Enrollment ID
I20220310001545
Address ID
AK999019182KE7559XAVEX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness85
Years active:6State licenses:1Digital endpointsOther names

8,106 NURSE PRACTITIONER in MI

Provider Addresses for MIRANDA MARSHALL (FNP)

  • 1005 S US HIGHWAY 27 STE 100

    SAINT JOHNS, MI 488792423

    Phone: (989) 224-3000

    Type: Mailing

  • PO BOX 1099

    WARD COVE, AK 999281099

    Phone: (907) 247-9999

    Type: Mailing

  • 25 JEFFERSON WAY STE 101

    KETCHIKAN, AK 999015953

    Phone: (907) 247-9999

    Type: Location

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: 2022-03-10

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200225001884INurse PractitionerMITBD
I20220310001545INurse PractitionerAKTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes20094$0
99213Established patient office or other outpatient visit, 20-29 minutes7153$0
99215Established patient office or other outpatient visit, 40-54 minutes6046$0
99204New patient office or other outpatient visit, 45-59 minutes1717$0
99203New patient office or other outpatient visit, 30-44 minutes1313$0
View full utilization report →

Insurance plans in this area (ZIP 48879)

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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: 7012926629View full group profile
NameSpecialtyState
Certified Nurse Midwife (Cnm)AZ
Orthopedic SurgeryWA
O B S T E T R I C S/ G Y N E C O L O G YAK

Reviews

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Frequently asked questions

What NPI should I save for MIRANDA MARSHALL (FNP)?
Save NPI 1245876242 if you need a stable reference for MIRANDA MARSHALL (FNP).
Is MIRANDA MARSHALL (FNP)'s NPI currently valid?
The extract we use shows MIRANDA MARSHALL (FNP) as active.
Does MIRANDA MARSHALL (FNP) list a primary specialty?
If you are matching referrals, note Family Nurse Practitioner for MIRANDA MARSHALL (FNP). Clinical services aligned with this taxonomy classification.
Where does public data place MIRANDA MARSHALL (FNP)?
The snapshot lists Saint Johns, Michigan for MIRANDA MARSHALL (FNP); download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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