Individual provider Active NPI

Miranda Denise McWhirter, AGACNP-BC

  • Internal Medicine Physician
  • Hudson, FL
National Provider Identifier
1124896766
Registry record updated Dec 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
APRN11026663 Issued in FL
Practice address
14153 Yosemite Dr Ste 104
Hudson, FL 34667-8065
Phone
(727) 605-3000
NPI assigned
Dec 13, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X APRN11026663 FL Primary

Addresses

Primary practice location

14153 Yosemite Dr Ste 104
Hudson, FL 34667-8065

Mailing address

14153 Yosemite Dr Ste 104
Hudson, FL 34667-8065
Phone (727) 605-3000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20240605003442 FL Practitioner - Nurse Practitioner 7315489317 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Internal Medicine MD LLCGroup PAC ID 4688059934, 2 clinicians

Practice addresses (Care Compare)

14153 Yosemite Dr
Suite 104
Hudson, FL 34667-8065
Phone (727) 605-3000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11026663FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Internal Medicine MD LLC Internal Medicine CurrentSince May 1, 2024 Accepting new patients
Internal Medicine MD LLC Internal Medicine CurrentSince May 1, 2024 Accepting new patients

Locations

14153 Yosemite Dr
Ste 104
Hudson, FL 34667
Phone (727) 605-3000

3633 Little Rd
Ste 103
Trinity, FL 34655
Phone (352) 293-2810

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BIGICD

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1702425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702425600000",
    "number": "1124896766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14153 YOSEMITE DR STE 104",
            "city": "HUDSON",
            "state": "FL",
            "postal_code": "346678065",
            "telephone_number": "727-605-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14153 YOSEMITE DR STE 104",
            "city": "HUDSON",
            "state": "FL",
            "postal_code": "346678065",
            "telephone_number": "727-605-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCWHIRTER",
        "first_name": "MIRANDA",
        "middle_name": "DENISE",
        "credential": "AGACNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-13",
        "last_updated": "2023-12-13",
        "certification_date": "2023-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "APRN11026663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hudson, FL

Sources for this page

Verify at the official NPI Registry.