MIRANDA NEUBAUER (NP) – Family Nurse Practitioner, NPI 1891325122

MIRANDA NEUBAUER (NP) is a healthcare provider. based in Minneapolis, Minnesota. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 2219006 (MN). The NPI Number for MIRANDA NEUBAUER (NP) is 1891325122

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
MIRANDA NEUBAUER (NP)
NPI
1891325122
Phone
(952) 388-9815
Address
920 E 28TH ST STE 300
Enumeration Date
26 January 2020
Last Update Date
17 June 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9524422191
Graduation Year
2020 (6 years ago)
PAC ID
1557779238
Group Practice PAC ID
9234041997
Professional Enrollment ID
I20210419000337
Address ID
MN553871752WA500XXSTXX400

Contacts

Secure Messaging
msalden195786@excellian.direct.allina.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness85
Years active:6State licenses:2Other namesUpdated within 12 months

5,720 NURSE PRACTITIONER in MN

Provider Addresses for MIRANDA NEUBAUER (NP)

  • 920 E 28TH ST STE 300

    MINNEAPOLIS, MN 554071195

    Phone: (952) 388-9815

    Type: Location

  • 2925 CHICAGO AVE

    MINNEAPOLIS, MN 554071321

    Phone: (612) 262-9000

    Type: Mailing

  • 800 E 28th St # E4300

    Minneapolis, MN 554073799

    Phone: (612) 863-3110

    Fax: (612) 863-3158

    Type: Location

  • 13967 ERWIN CT

    EDEN PRAIRIE, MN 553442295

    Phone:

    Type: Mailing

  • 500 S MAPLE ST

    WACONIA, MN 553871752

    Phone: (952) 556-2600

    Fax: (952) 556-2601

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $109.

Total Amount is formed as General ($109) + Research ($0) + Ownership ($0) = $109.

Last reported payment date: 2024-12-03 • Largest payer in this snapshot: Kerecis Limited ($29).

Total Amount

$109

General + Research + Ownership

Payments

5

Total payment records

General Amount

$109

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-03

Latest reported date

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: 2021-04-19

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
I20210419000337INurse PractitionerMNTBD

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
11045Removal of skin and tissue, each additional 20.0 sq cm or less18621$0
99213Established patient office or other outpatient visit, 20-29 minutes17776$0
11042Removal of skin and tissue, 20.0 sq cm or less15253$0
97597Removal of tissue from wound, 20.0 sq cm or less10236$0
99214Established patient office or other outpatient visit, 30-39 minutes9448$0
View full utilization report →

Insurance plans in this area (ZIP 55407)

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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: 9234041997View full group profile
NameSpecialtyState
Family PracticeMN
Internal MedicineMN
Family PracticeMN
-MN
-MN
Physician AssistantMN
Diagnostic RadiologyMN
Marriage And Family TherapistMN
Physician AssistantMN
Nurse PractitionerMN

Reviews

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Frequently asked questions

Does MIRANDA NEUBAUER (NP) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — MIRANDA NEUBAUER (NP) uses 1891325122.
Can I rely on MIRANDA NEUBAUER (NP) being an active provider?
As of the registry snapshot, MIRANDA NEUBAUER (NP) is marked active.
What taxonomy line describes MIRANDA NEUBAUER (NP)?
For research purposes, treat MIRANDA NEUBAUER (NP) as Family Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
Where is MIRANDA NEUBAUER (NP) based?
MIRANDA NEUBAUER (NP) is tied to Minneapolis, Minnesota in the data we show; additional addresses may exist on the full record.
Is the information about MIRANDA NEUBAUER (NP) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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