MRS. LISA M MIRANDA (P.A.-C) – Physician Assistant, NPI 1144314766
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,118 PHYSICIAN ASSISTANT in TN
Provider Addresses for MRS. LISA M MIRANDA (P.A.-C)
2121 NORTH OCOEE STREET
SUITE 101
CLEVELAND, TN 37311
Phone: (423) 472-6548
Fax: (423) 472-8318
Type: Location
Old Placerville Road, Rancho Cordova, Sacramento County, California, 95655, United States
SACRAMENTO, CA 958272539
Phone: (800) 470-0071
Type: Mailing
250, North Sunrise Avenue, Roseville, Placer County, California, 95661, United States
ROSEVILLE, CA 95661
Phone: (916) 865-1140
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: 2004-01-27
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 |
|---|---|---|---|---|
| I20040127001246 | I | Physician Assistant | CA | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 201 | 94 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 26 | 25 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 22 | 22 | $0 |
| G0008 | Administration of influenza virus vaccine | 21 | 20 | $0 |
| 90694 | Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage | 15 | 14 | $0 |
Insurance plans in this area (ZIP 37311)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | CA | |
| Diagnostic Radiology | CA | |
| Internal Medicine | CA | |
| - | CA | |
| Family Practice | CA | |
| - | CA | |
| - | CA | |
| Allergy/Immunology, Rheumatology | CA | |
| Physician Assistant | CA | |
| Physician Assistant | CA |
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