Miranda Renee Brandt, APRN FNP-C
Individual provider Active NPI Nurse Practitioner · Paola, KS
NPI 1235700204 · NPPES record last updated Jan 19, 2026
Key facts
- NPI
- 1235700204
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 53-80335-042 (KS)
- Practice address
- 18535 W 319TH St
Paola, KS 66071-8240 - Phone
- (405) 694-9604
- NPI assigned
- Jul 9, 2021
- Sex
- Female
- Sole proprietor
- No
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2000 Health Park Dr
Brentwood, TN 37027-4692
Hospital & facility affiliations
- Lee'S Summit Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.24 of 100
- Quality
- 82.77
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 74.45
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 53-80335-042 | KS | MD | Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 53-80335-042 | KS | Yes |
Addresses
Primary practice location
18535 W 319TH St
Paola, KS 66071-8240
Mailing address
18535 W 319TH St
Paola, KS 66071-8240
Phone (405) 694-9604
Other providers in Paola, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 19, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.