Individual provider Active NPI

Mary Ann Marcella Miranda, APRN, AHCNS-BC

  • Adult Health Clinical Nurse Specialist
  • Austin, TX
National Provider Identifier
1023263720
Registry record updated Jan 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Clinical Nurse SpecialistTaxonomy code 364SA2200X
License
734523 Issued in TX
Practice address
3200 W Slaughter LN
C/O West Oaks Rehabilitation and Healthcare Center
Austin, TX 78748-5706
Phone
(512) 992-7836
Fax
(512) 364-0654
NPI assigned
Nov 21, 2008
Last updated
Jan 10, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Clinical Nurse Specialist 364SA2200X 734523 TX Primary

Addresses

Primary practice location

3200 W Slaughter LN
C/O West Oaks Rehabilitation and Healthcare Center
Austin, TX 78748-5706

Mailing address

3200 W Slaughter LN
C/O West Oaks Rehabilitation and Healthcare Center
Austin, TX 78748-5706
Phone (512) 992-7836

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090220000190 TX Practitioner - Certified Clinical Nurse Specialist (CNS) 0446315725 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Clinical Nurse Specialist (CNS)
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospital Internists of Texas LLCGroup PAC ID 6507133584, 46 clinicians

Practice addresses (Care Compare)

901 Discovery Blvd
Cedar Park, TX 78613-2273
Phone (512) 259-9993

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Specialist, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lonestar Hospital Medicine Associates, PA CurrentSince Dec 18, 2015 Accepting new patients
Hospital Internists of Texas, LLC CurrentSince Jul 23, 2017 Accepting new patients
Hit Population Health Services PLLC CurrentSince Aug 27, 2025 Accepting new patients
Careconnectmd Texas PA CurrentSince May 1, 2024 Accepting new patients
Rehabilitation & Physical Medicine LLC Past Accepting new patients

Locations

3090 Bristol St
Ste 200
Costa Mesa, CA 92626
Phone (714) 992-1182

7000 N Mopac Expy
Ste 420
Austin, TX 78731
Phone (512) 827-2941

901 W Ben White Blvd
Austin, TX 78704
Phone (512) 342-2382

3200 W Slaughter Ln
Austin, TX 78748
Phone (512) 282-0141

7600 Chevy Chase Dr
Ste 300
Austin, TX 78752
Phone (512) 318-2503

901 Discovery Blvd
Cedar Park, TX 78613
Phone (512) 259-9993

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1227225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420848000000",
    "number": "1023263720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 W SLAUGHTER LN",
            "address_2": "C/O WEST OAKS REHABILITATION AND HEALTHCARE CENTER",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787485706",
            "telephone_number": "512-992-7836",
            "fax_number": "512-364-0654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 W SLAUGHTER LN",
            "address_2": "C/O WEST OAKS REHABILITATION AND HEALTHCARE CENTER",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787485706",
            "telephone_number": "512-992-7836",
            "fax_number": "512-364-0654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRANDA",
        "first_name": "MARY ANN",
        "middle_name": "MARCELLA",
        "name_prefix": "Mrs.",
        "credential": "APRN, AHCNS-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-21",
        "last_updated": "2015-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SA2200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Adult Health",
            "state": "TX",
            "license": "734523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.