Active NPI
Miranda Nicole Moreno
- Physician Assistant
- Edinburg, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA18866
- Practice address
- 1201 W University Dr
Edinburg, TX 78539-2909 - Phone
- (956) 665-7049
- NPI assigned
- Aug 13, 2022
- Last updated
- Oct 26, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA18866 | TX | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
1201 W University Dr
Edinburg, TX 78539-2909
Mailing address
1201 W University Dr
Edinburg, TX 78539-2909
Phone (956) 665-7049
Other names 1
- Miranda Nicole Rios
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1115 E Tyler St
Integrity Urgent Care
Athens, TX 75751-2145
Phone (903) 292-5015
209 Kings Fort Pkwy
Kaufman, TX 75142-3551
Phone (972) 703-9040
2901 W 7TH Ave
Integrity Urgent Care
Corsicana, TX 75110-4811
Phone (903) 616-0111
3201 University Dr E
135 Integrity Urgent Care
Bryan, TX 77802-3481
Phone (979) 703-1832
4518 Kemp Blvd
Wichita Falls, TX 76308-3712
Phone (254) 328-0550
5406 Wesley St
Integrity Urgent Care
Greenville, TX 75402-6311
Phone (254) 328-0550
607 E Malloy Bridge Rd
Seagoville, TX 75159-1817
Phone (469) 908-5018
808 N Nolan River Rd
Integrity Urgent Care
Cleburne, TX 76033-7012
Phone (817) 526-5509
8695 State Hwy 34 S
Quinlan, TX 75474-9457
Phone (903) 224-4024
921 E Hwy 199
Springtown, TX 76082-6039
Phone (817) 512-5807
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA18866 | TX | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DCS Medical PA | Current | Accepting new patients | |
| DCS Medical PA | Current | Accepting new patients |
Locations
2140 N State Highway 121
Bonham, TX 75418
Phone (430) 703-1550
3201 University Dr E
Ste 135
Bryan, TX 77802
Phone (979) 703-1832
2901 W 7th Ave
Corsicana, TX 75110
Phone (903) 616-0111
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1792972800000",
"number": "1144958463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1201 W UNIVERSITY DR",
"city": "EDINBURG",
"state": "TX",
"postal_code": "785392909",
"telephone_number": "956-665-7049"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 W UNIVERSITY DR",
"city": "EDINBURG",
"state": "TX",
"postal_code": "785392909",
"telephone_number": "956-665-7049"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORENO",
"first_name": "MIRANDA",
"middle_name": "NICOLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-13",
"last_updated": "2026-10-26",
"certification_date": "2026-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA18866",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MIRANDA",
"last_name": "RIOS",
"middle_name": "NICOLE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Edinburg, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.