NPIMap

Individual provider Active NPI

Miranda Marie Deering, PA-C

  • Physician Assistant
  • Waterford, PA
National Provider Identifier
1316283179
Registry record updated Aug 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
OA002844 Issued in PA
Practice address
220 E 3Rd St
Waterford, PA 16441-9753
Phone
(814) 796-6791
Fax
(814) 796-6517
NPI assigned
Dec 26, 2012
Last updated
Aug 6, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA055173 PA
Physician Assistant 363A00000X OA002844 PA Primary

Addresses

Primary practice location

220 E 3Rd St
Waterford, PA 16441-9753

Mailing address

1 Lecom PL
Erie, PA 16505-2571
Phone (814) 868-2529

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, OH2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150317001380 PA Practitioner - Physician Assistant 5395062079 Reassigns benefits to 3 organizations
I20210318000571 OH Practitioner - Physician Assistant 5395062079

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Millcreek Community HospitalGroup PAC ID 8426020173, shared by 24 NPIs, 67 clinicians

Practice addresses (Care Compare)

220 E 3Rd St
Waterford, PA 16441-9753
Phone (814) 796-6791

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
MA055173PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Corry Memorial Hospital Association CurrentSince Apr 1, 2025 Accepting new patients
Millcreek Community Hospital CurrentSince Jun 13, 2025 Accepting new patients
Corry Memorial Hospital Association CurrentSince Apr 1, 2025 Accepting new patients
Millcreek Community Hospital Physician Assistant CurrentSince Jun 13, 2025 Accepting new patients
Millcreek Community Hospital CurrentSince Jun 13, 2025 Accepting new patients
Francis H. Tseng MD Past Accepting new patients

Locations

965 Shamrock Ln
Corry, PA 16407
Phone (814) 644-4641

1 Lecom Pl
Erie, PA 16505
Phone (814) 868-2524

1 Lecom Pl
Ste 3
Erie, PA 16505

2625 Parade St
Erie, PA 16504
Phone (814) 452-6383

4000 Sterrettania Rd
Uppr
Erie, PA 16506
Phone (814) 454-4285

4000 Sterrettania Rd
Uppr Lvl
Erie, PA 16506
Phone (814) 835-6640

5515 Peach St
Erie, PA 16509
Phone (814) 868-8251

101 E High St
Union City, PA 16438
Phone (814) 438-2088

220 E 3rd St
Waterford, PA 16441
Phone (814) 796-6791

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/10044/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir-usa.unify.chbase.com/org/corrymh-73713d5f
  • Direct secure messaging: mdeering@lisl.medentdirect.com
  • Direct secure messaging: mdeering@maoeim-pa.direct.office.nextgen.com
  • Direct secure messaging: miranda.deering.1@10044.direct.athenahealth.com

Organizations & group practices 6

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.

Hospital & facility affiliations 9

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": "1356480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754438400000",
    "number": "1316283179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 LECOM PL",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165052571",
            "telephone_number": "814-868-2529",
            "fax_number": "814-868-2522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 E 3RD ST",
            "city": "WATERFORD",
            "state": "PA",
            "postal_code": "164419753",
            "telephone_number": "814-796-6791",
            "fax_number": "814-796-6517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEERING",
        "first_name": "MIRANDA",
        "middle_name": "MARIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-26",
        "last_updated": "2025-08-06",
        "certification_date": "2025-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA055173",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "OA002844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterford, PA

Sources for this page

Verify at the official NPI Registry.