MIRANDA M HANDYSIDE – Nurse Practitioner, NPI 1427501378
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,106 NURSE PRACTITIONER in MI
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Provider Addresses for MIRANDA M HANDYSIDE
69676 S NOTTAWA RD
STURGIS, MI 490919764
Phone: (269) 689-9698
Type: Mailing
1021, Hill Street, Three Rivers, Saint Joseph County, Michigan, 49093, United States
THREE RIVERS, MI 490932745
Phone: (269) 858-3024
Fax: (269) 273-9040
Type: Location
701 S Health Parkway
Three Rivers, MI 490938352
Phone: (269) 278-1145
Type: Location
3245 HEALTH DR STE 100
GRANGER, IN 465301380
Phone:
Type: Mailing
711 S HEALTH PARKWAY STE 1
THREE RIVERS, MI 490938354
Phone: (269) 273-8557
Fax: (269) 279-6461
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 24 Open Payments records for all available years, with a total value of $455.
Total Amount is formed as General ($455) + Research ($0) + Ownership ($0) = $455.
Last reported payment date: 2024-12-11 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($186).
Total Amount
$455
General + Research + Ownership
Payments
24
Total payment records
General Amount
$455
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GlaxoSmithKline, LLC. | $186 |
| Xeris Pharmaceuticals, Inc. | $47 |
| Novo Nordisk Inc | $37 |
| Mylan Specialty L.P. | $25 |
| Corium, LLC | $24 |
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: 2017-01-23
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20170123002023 | I | Nurse Practitioner | MI | 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 49091)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IN | |
| Internal Medicine | MI | |
| Family Practice | MI | |
| Pediatric Medicine, Infectious Disease | IN | |
| - | MI | |
| Physician Assistant | MI | |
| Nurse Practitioner | MI | |
| Physician Assistant | MI | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MI | |
| P O D I A T R Y | MI |
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