MIRANDA N ALLEY – Family Nurse Practitioner, NPI 1669048294

MIRANDA N ALLEY is a healthcare provider. based in Johnson city, Tennessee. specializing in NURSE PRACTITIONER. They hold a License No. 29447 (TN). The NPI Number for MIRANDA N ALLEY is 1669048294

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
MIRANDA N ALLEY
NPI
1669048294
Phone
(423) 952-2111
Address
1021 W OAKLAND AVE STE 310
Enumeration Date
3 June 2021
Last Update Date
6 March 2026

Doctor Profile

Medical School Name
EAST TENNESSEE STATE UNIVERSITY QUILLEN COLLEGE OF MEDICINE
Secondary Phone
4232244000
Graduation Year
2020 (6 years ago)
PAC ID
8820473499
Group Practice PAC ID
8123291739
Professional Enrollment ID
I20220917000089
Address ID
TN376603837KI130XXRDXX400

Contacts

Secure Messaging
melliott76774@balladhealth.medalliesdirect.net
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness95
Years active:5State licenses:1Other names

10,664 NURSE PRACTITIONER in TN

Provider Addresses for MIRANDA N ALLEY

  • 1021 W OAKLAND AVE STE 310

    JOHNSON CITY, TN 376042192

    Phone: (423) 952-2111

    Type: Mailing

  • 130 W RAVINE RD

    KINGSPORT, TN 376603837

    Phone: (423) 224-4000

    Type: Location

  • 1700 Pinebrook Dr Ste 2

    Kingsport, TN 376604365

    Phone: (423) 579-0101

    Type: Location

  • 1700 PINEBROOK DR STE 2

    KINGSPORT, TN 376604365

    Phone: (423) 579-0101

    Type: Mailing

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: 2022-09-17

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
I20220917000089INurse PractitionerTNTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes3227$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes1212$0
View full utilization report →

Insurance plans in this area (ZIP 37604)

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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: 8123291739View full group profile
NameSpecialtyState
-TN
-TN
General SurgeryMD
Pulmonary Disease, Internal MedicineTN
G A S T R O E N T E R O L O G YTN
N E U R O S U R G E R YIL
Nurse PractitionerTN
-TN
Physician AssistantKY
Orthopedic SurgeryGA

Reviews

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Frequently asked questions

Where can patients find MIRANDA N ALLEY's NPI?
You can confirm MIRANDA N ALLEY with NPI 1669048294; it appears in the national provider directory.
Is MIRANDA N ALLEY currently active in the NPI registry?
CMS-published data lists MIRANDA N ALLEY as an active registrant.
What kind of provider is MIRANDA N ALLEY?
The page reflects Family Nurse Practitioner for MIRANDA N ALLEY. Clinical services aligned with this taxonomy classification.
Where is MIRANDA N ALLEY's primary listing?
We display Johnson City, Tennessee because that is what the record indicates for MIRANDA N ALLEY.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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