MIRANDA LEIGH PELZEL (APRN) – Acute Care Nurse Practitioner, NPI 1639607070

MIRANDA LEIGH PELZEL (APRN) is a healthcare provider. based in Bryan, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 2016038173 (MO). The NPI Number for MIRANDA LEIGH PELZEL (APRN) is 1639607070

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
MIRANDA LEIGH PELZEL (APRN)
NPI
1639607070
Phone
(979) 776-3777
Address
2801 Franciscan Dr
Enumeration Date
30 May 2017
Last Update Date
30 August 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3862316000
Graduation Year
2016 (10 years ago)
PAC ID
1254668361
Group Practice PAC ID
7012266836
Professional Enrollment ID
I20190813001564
Address ID
FL321175167DA301XXPKWY400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness75
Years active:9State licenses:3Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

Provider Addresses for MIRANDA LEIGH PELZEL (APRN)

  • 2801 Franciscan Dr

    Bryan, TX 778022544

    Phone: (979) 776-3777

    Fax: (979) 776-5914

    Type: Location

  • 3635 Vista Ave

    Saint Louis, MO 631102539

    Phone: (314) 577-8000

    Type: Location

  • 305 Memorial Medical Pkwy Ste 308

    Daytona Beach, FL 32117

    Phone: (386) 231-3072

    Fax: (386) 231-5962

    Type: Location

  • 308, Memorial Medical Parkway, Daytona Beach, Volusia County, Florida, 32117, United States

    DAYTONA BEACH, FL 321175137

    Phone: (386) 231-3600

    Fax: (386) 231-3602

    Type: Mailing

  • 2800 S TEXAS AVE STE 102

    BRYAN, TX 778025361

    Phone: (936) 266-3513

    Fax: (713) 852-2332

    Type: Mailing

  • 2700 E 29TH ST STE 240

    BRYAN, TX 778022586

    Phone: (979) 776-0750

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $189.

Total Amount is formed as General ($189) + Research ($0) + Ownership ($0) = $189.

Last reported payment date: 2024-09-11 • Largest payer in this snapshot: ABIOMED ($54).

Total Amount

$189

General + Research + Ownership

Payments

8

Total payment records

General Amount

$189

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-11

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: 2022-08-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20190813001564INurse PractitionerFLTBD
I20220817002187INurse PractitionerTXTBD

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
33508Harvest of vein using an endoscope1111$0
View full utilization report →

Insurance plans in this area (ZIP 77802)

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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: 7012266836View full group profile
NameSpecialtyState
-FL
U R O L O G YFL
G A S T R O E N T E R O L O G YFL
Thoracic SurgeryFL
Nurse PractitionerGA
Internal MedicineNY
General SurgeryFL
Pulmonary Disease, Critical Care (Intensivists), Sleep MedicineFL
Cardiac Electrophysiology, Cardiovascular Disease (Cardiology)FL
Certified Registered Nurse Anesthetist (Crna)FL

Reviews

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Frequently asked questions

What identifier follows MIRANDA LEIGH PELZEL (APRN) across health systems?
The NPI 1639607070 uniquely identifies MIRANDA LEIGH PELZEL (APRN) in U.S. healthcare data.
Is MIRANDA LEIGH PELZEL (APRN)'s NPI status active today?
Active status means MIRANDA LEIGH PELZEL (APRN)'s NPI record is not deactivated in the public file.
Which specialty label fits MIRANDA LEIGH PELZEL (APRN)?
NPPES ties MIRANDA LEIGH PELZEL (APRN) to Acute Care Nurse Practitioner in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to MIRANDA LEIGH PELZEL (APRN)?
MIRANDA LEIGH PELZEL (APRN) is associated with Bryan, Texas in the same public data insurers reference.
Can I export MIRANDA LEIGH PELZEL (APRN)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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