Look up the most recent NPI and PECOS records

Melissa Miranda

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

729 Sunrise Ave Ste 900, Roseville, CA 95661-4525

PECOS Enrollment

Based on the most recent information from CMS, provider Melissa Miranda is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1336717560
Provider Type
Individual
Full Name
Miranda, Melissa
Gender
Female

Sole Proprietor
No
Enumeration Date
6/14/2021
Last Updated
5/3/2022

Contact Information

Practice Location

729 Sunrise Ave Ste 900, Roseville, CA 95661-4525

(916) 781-3310

Unlisted Fax

Mailing Location

729 Sunrise Ave Ste 900, Roseville, CA 95661-4525

(916) 781-3310

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363A00000X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License PA60089 California
Code 363A00000X	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License PA9114146 Florida
Code 363AM0700X	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License PA9114146 Florida
Code 363AM0700X	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License PA60089 California
Code 363AS0400X	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License PA60089 California
Code 363AS0400X	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License PA9114146 Florida

Melissa Miranda

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Code

Description

License

Code

Description

License

Code

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License

Code

Description

License

Byrd, Asha Pavani

Moser, Rodney L

Thompson, Tolya Lashawn

Miranda, Lisa M

Turney, Carlynn

Roe, Marian Downey

Marty, Kathleen M

Amaral, Steven E

Adams-Alexis, Anne L

Randall, Alison L