Individual provider Active NPI

Miranda Nicole Nelson, PA

  • Physician Assistant
  • Rockingham, VA
National Provider Identifier
1366003949
Registry record updated May 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0110006882 Issued in VA
Practice address
2006 Health Campus Dr Ste 200
Rockingham, VA 22801-8679
Phone
(540) 689-5800
Fax
(757) 431-7136
NPI assigned
Jun 25, 2019
Last updated
May 23, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0110006882 VA Primary

Addresses

Primary practice location

2006 Health Campus Dr Ste 200
Rockingham, VA 22801-8679

Mailing address

2006 Health Campus Dr Ste 200
Rockingham, VA 22801-8679
Phone (540) 689-5800

Other identifiers 1

IdentifierTypeStateIssuer
1366003949MedicaidVA

Other names 1

  • Miranda Nicole Hinkle Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20191211002283 VA Practitioner - Physician Assistant 8224461835 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
RMH Medical Group LLCGroup PAC ID 7618270729, 254 clinicians

Practice addresses (Care Compare)

136 W Elizabeth St
Harrisonburg, VA 22802-3811

2006 Health Campus Dr
Rockingham, VA 22801-8679

2008 Health Campus Dr
Rockingham, VA 22801-8679
Phone (540) 689-7000

2010 Health Campus Dr
Rockingham, VA 22801-8679
Phone (540) 689-1110

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
RMH Medical Group LLC CurrentSince Dec 9, 2019 Accepting new patients
RMH Medical Group LLC CurrentSince Dec 9, 2019 Accepting new patients
Rockingham Memorial Hospital Past Accepting new patients

Locations

136 W Elizabeth St
Ste 201
Harrisonburg, VA 22802
Phone (540) 564-5104

2006 Health Campus Dr
Rockingham, VA 22801
Phone (540) 689-5800

2006 Health Campus Dr
Ste 200
Rockingham, VA 22801
Phone (540) 689-5555

2010 Health Campus Dr
Rockingham, VA 22801
Phone (540) 689-1000

Interoperability endpoints

  • Direct secure messaging: mhinkle464490@direct.sentara.net

Organizations & group practices 3

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 3

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": "1561420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684800000000",
    "number": "1366003949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2006 HEALTH CAMPUS DR STE 200",
            "city": "ROCKINGHAM",
            "state": "VA",
            "postal_code": "228018679",
            "telephone_number": "540-689-5800",
            "fax_number": "757-431-7136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2006 HEALTH CAMPUS DR STE 200",
            "city": "ROCKINGHAM",
            "state": "VA",
            "postal_code": "228018679",
            "telephone_number": "540-689-5800",
            "fax_number": "757-431-7136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "MIRANDA",
        "middle_name": "NICOLE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-25",
        "last_updated": "2023-05-23",
        "certification_date": "2023-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110006882",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1366003949",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MIRANDA",
            "last_name": "HINKLE",
            "middle_name": "NICOLE",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rockingham, VA

Sources for this page

Verify at the official NPI Registry.