MARIA SOCORRO MIRANDA GANDARA (FNP) – Family Nurse Practitioner, NPI 1366625717
Family Nurse Practitioner
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
6,261 NURSE PRACTITIONER in WA
Provider Addresses for MARIA SOCORRO MIRANDA GANDARA (FNP)
CAPITAL EASTSIDE FAMILY PRACTICE
1100 EASTSIDE ST SE
OLYMPIA, WA 98501
Phone: (360) 943-5127
Fax: (360) 754-2516
Type: Mailing
Madigan Army Medical Ctr
9040 Jackson Ave
Tacoma, WA 984310001
Phone: (253) 968-3869
Type: Location
1802 S J Street
Suite 120
Tacoma, WA 984054965
Phone: (253) 428-2200
Fax: (253) 428-2299
Type: Location
1100, Eastside Street Southeast, Olympia, Thurston County, Washington, 98501, United States
OLYMPIA, WA 985017304
Phone: (360) 943-5127
Fax: (360) 754-2516
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 $371.
Total Amount is formed as General ($371) + Research ($0) + Ownership ($0) = $371.
Last reported payment date: 2024-03-26 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($247).
Total Amount
$371
General + Research + Ownership
Payments
3
Total payment records
General Amount
$371
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-03-26
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $247 |
| Lilly USA, LLC | $124 |
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: 2019-02-06
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 |
|---|---|---|---|---|
| I20190206000740 | I | Nurse Practitioner | WA | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 193 | 188 | $0 |
| 81003 | Automated urinalysis test | 36 | 34 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 31 | 31 | $0 |
| 87636 | Detection test by multiplex amplified probe technique for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (covid-19) and influenza virus types a and b | 28 | 28 | $0 |
| 71046 | X-ray of chest, 2 views | 25 | 25 | $0 |
Insurance plans in this area (ZIP 98501)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | WA | |
| Nurse Practitioner | WA | |
| Nurse Practitioner | WA | |
| Nurse Practitioner | WA | |
| Nurse Practitioner | WA | |
| Nurse Practitioner | WA | |
| Nurse Practitioner | WA | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | WA | |
| Nurse Practitioner | WA |
Reviews
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