NINA ELIZABETH MIRACHI (PA-C) – Medical Physician Assistant, NPI 1962740654

NINA ELIZABETH MIRACHI (PA-C) is a healthcare provider. based in Philadelphia, Pennsylvania. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. MA057407 (PA). The NPI Number for NINA ELIZABETH MIRACHI (PA-C) is 1962740654

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
NINA ELIZABETH MIRACHI (PA-C)
NPI
1962740654
Phone
(215) 662-7355
Address
3400 SPRUCE ST
Enumeration Date
30 January 2013
Last Update Date
9 December 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2012 (14 years ago)
PAC ID
8527207737
Group Practice PAC ID
1951215201
Professional Enrollment ID
I20150504000780
Address ID
PA193011763PA255XXAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness75
Years active:13State licenses:1Digital endpointsOther names

9,691 PHYSICIAN ASSISTANT in PA

Provider Addresses for NINA ELIZABETH MIRACHI (PA-C)

  • 3400 SPRUCE ST

    FOUNDERS 11

    PHILADELPHIA, PA 191044238

    Phone: (215) 662-7355

    Type: Mailing

  • 3803 W CHESTER PIKE STE 160

    NEWTOWN SQUARE, PA 190732336

    Phone:

    Type: Mailing

  • 300 Evergreen Dr Ste 140

    Glen Mills, PA 193421080

    Phone: (610) 579-3579

    Fax: (610) 579-3580

    Type: Location

  • 207 N BROAD ST

    FL 3

    PHILADELPHIA, PA 191071500

    Phone: (267) 479-4142

    Fax: (215) 463-3820

    Type: Mailing

  • 255 W LANCASTER AVE

    SUITE 201, MOB 1

    PAOLI, PA 193011763

    Phone: (484) 476-1000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $123.

Total Amount is formed as General ($123) + Research ($0) + Ownership ($0) = $123.

Last reported payment date: 2024-11-19 • Largest payer in this snapshot: ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) ($61).

Total Amount

$123

General + Research + Ownership

Payments

3

Total payment records

General Amount

$123

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-19

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: 2015-05-04

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
I20150504000780IPhysician AssistantPATBD

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 minutes2323$0
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report1111$0
View full utilization report →

Insurance plans in this area (ZIP 19104)

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Provider's Procedures

NINA ELIZABETH MIRACHI (PA-C) performs procedures in PHYSICIAN ASSISTANT. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICIAN ASSISTANTPA93280Evaluation, testing, and programming adjustment of permanent dual lead pacemaker system with physician analysis, review, and report3931
PHYSICIAN ASSISTANTPA93284Evaluation, testing and programming adjustment of defibrillator with analysis, review and report3129

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: 1951215201View full group profile

Reviews

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Frequently asked questions

What is the 10-digit NPI for NINA ELIZABETH MIRACHI (PA-C)?
NINA ELIZABETH MIRACHI (PA-C) — NPI 1962740654 — is the standard way to identify this listing.
Can I rely on NINA ELIZABETH MIRACHI (PA-C) being an active provider?
As of the registry snapshot, NINA ELIZABETH MIRACHI (PA-C) is marked active.
What taxonomy line describes NINA ELIZABETH MIRACHI (PA-C)?
For research purposes, treat NINA ELIZABETH MIRACHI (PA-C) as Medical Physician Assistant in this dataset. Clinical services aligned with this taxonomy classification.
What area does NINA ELIZABETH MIRACHI (PA-C) serve?
NINA ELIZABETH MIRACHI (PA-C)'s listing highlights Philadelphia, Pennsylvania; more addresses can appear in NPPES.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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