Individual provider Active NPI

Miranda Leann Franck, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Fayette, IA
National Provider Identifier
1255090239
Registry record updated Dec 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
G166198 Issued in IA
Practice address
143 S Main St
Fayette, IA 52142-7701
Phone
(319) 415-4728
NPI assigned
Dec 17, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X G166198 IA Primary

Addresses

Primary practice location

143 S Main St
Fayette, IA 52142-7701

Mailing address

PO Box 26
Fairbank, IA 50629-0026
Phone (319) 415-4728

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20220404001887 IA Practitioner - Nurse Practitioner 2466848262 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peoples Memorial Hospital 47 clinicians

Practice addresses (Care Compare)

1600 1St St E
Independence, IA 50644-3155

2405 Rock Island Rd
Oelwein, IA 50662-3102
Phone (319) 283-2651

Hospital & facility affiliations

  • Buchanan County Health Center Hospital, Independence, IA, CCN 161335

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
G166198IAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
People'S Memorial Hospital CurrentSince Nov 1, 2022 Accepting new patients
People'S Memorial Hospital CurrentSince Nov 1, 2022 Accepting new patients
St Luke'S Methodist Hospital Current Accepting new patients
People'S Memorial Hospital Past Accepting new patients

Locations

1600 1st St E
Independence, IA 50644
Phone (319) 332-0999

2405 Rock Island Rd
Oelwein, IA 50662
Phone (319) 283-2651

Interoperability endpoints

  • Direct secure messaging: mfranck915383@direct.unitypoint.org

Organizations & group practices 8

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1639699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639699200000",
    "number": "1255090239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26",
            "city": "FAIRBANK",
            "state": "IA",
            "postal_code": "506290026",
            "telephone_number": "319-415-4728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 S MAIN ST",
            "city": "FAYETTE",
            "state": "IA",
            "postal_code": "521427701",
            "telephone_number": "319-415-4728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRANCK",
        "first_name": "MIRANDA",
        "middle_name": "LEANN",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-17",
        "last_updated": "2021-12-17",
        "certification_date": "2021-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IA",
            "license": "G166198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayette, IA

Sources for this page

Verify at the official NPI Registry.