Miranda Marshall, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

183598 Issued in AK

Practice address

25 Jefferson Way Ste 101
Ketchikan, AK 99901-5953

Phone

(907) 247-9999

NPI assigned

Nov 25, 2019

Last updated

Mar 19, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI, AK2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Russell Degroote MD PCGroup PAC ID 7012926629, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Peacehealth Ketchikan Medical Center Home Health Home health agency, Ketchikan, AK, CCN 027014
• Peacehealth Ketchikan Medical Center Hospital, Ketchikan, AK, CCN 021311

Merit-based Incentive Payment System (MIPS)

Final score

79.12 of 100Reported as group

Quality

81.91

Promoting interoperability

100

Improvement activities

40

Cost

40.93

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mirandamarshall@ccmedc.allscriptsdirect.net

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.

• Russell Degroote MD PC

  • Orthopaedic Surgery Physician
  • Ketchikan, AK
  • NPI 1033278155
  Medicare reassignment Care Compare group NPD
• Clinton County Medical Center PC

  • Family Medicine Physician
  • Saint Johns, MI
  • NPI 1861486938
  Medicare reassignment NPD
• Clinton County Medical Center PC

  • Rural Health Clinic/Center
  • Carson City, MI
  • NPI 1285408419
  NPD

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

• Peacehealth

  dba Ketchikan Medical Center

  • Critical Access Hospital
  • Ketchikan, AK
  • NPI 1396705539
  Care Compare affiliation
• Peacehealth

  dba Ketchikan Medical Center Home Health

  • Home Health Agency
  • Ketchikan, AK
  • NPI 1760427082
  Care Compare affiliation

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

{
    "created_epoch": "1574640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773878400000",
    "number": "1245876242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1099",
            "city": "WARD COVE",
            "state": "AK",
            "postal_code": "999281099",
            "telephone_number": "907-247-9999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 JEFFERSON WAY STE 101",
            "city": "KETCHIKAN",
            "state": "AK",
            "postal_code": "999015953",
            "telephone_number": "907-247-9999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "MIRANDA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-25",
        "last_updated": "2026-03-19",
        "certification_date": "2026-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AK",
            "license": "183598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin Michael Maguire, M.D.
• Michael James Maki II
• Jonathan Gonzales Makua
• Jillian Malouf
• Abigail Margaja
• Pamela Martensen
• Carey Lynn Martin, CRNA
• Elena A Martin
• Harry Martin Jr.
• Harry Eugene Martin

• Family Nurse Practitioner in Ketchikan, AK
• Providers in Ketchikan, AK by specialty
• Family Nurse Practitioner in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.

Verify at the official NPI Registry.