Active NPI
Nikki Marie Miracle, D.P.M.
- Foot Surgery Podiatrist
- Beaver Falls, PA
National Provider Identifier
1205050754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot Surgery Podiatrist
- License
- SC005929
- Practice address
- 6832 Big Beaver Blvd.
Beaver Falls, PA 15010-1803 - Phone
- (724) 843-7010
- Fax
- (724) 846-9938
- NPI assigned
- Apr 13, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot Surgery Podiatrist | 213ES0131X | SC005929 | PA | Primary |
Addresses
Primary practice location
6832 Big Beaver Blvd.
Beaver Falls, PA 15010-1803
Mailing address
6832 Big Beaver Blvd
Beaver Falls, PA 15010-1803
Phone (724) 843-7010
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090803000089 | PA | Practitioner - Podiatry | 5294888665 |
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Kent State University College of Podiatric Medicine, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
6832 Big Beaver Blvd
Beaver Falls, PA 15010-1803
Hospital & facility affiliations
- Heritage Valley Beaver
- Upmc Passavant
- Upmc Jameson
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 21 |
| Removal of nail tissue | 344 |
| Removal or shaving of skin growth | 71 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- New Castle, PA
- NPI 1477538312
-
- General Acute Care Hospital
- Pittsburgh, PA
- NPI 1225047699
-
- General Acute Care Hospital
- Beaver, PA
- NPI 1063422053
-
- General Acute Care Hospital
- Beaver Falls, PA
- NPI 1306989983
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Sewickley, PA
- NPI 1528101458
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1288828800000",
"number": "1205050754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6832 BIG BEAVER BLVD",
"city": "BEAVER FALLS",
"state": "PA",
"postal_code": "150101803",
"telephone_number": "724-843-7010",
"fax_number": "724-846-9938"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6832 BIG BEAVER BLVD.",
"city": "BEAVER FALLS",
"state": "PA",
"postal_code": "150101803",
"telephone_number": "724-843-7010",
"fax_number": "724-846-9938"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIRACLE",
"first_name": "NIKKI",
"middle_name": "MARIE",
"credential": "D.P.M.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-13",
"last_updated": "2010-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0131X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot Surgery",
"state": "PA",
"license": "SC005929",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beaver Falls, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2010; 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.