Miranda Renee Wing, APRN

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

APRN01755 Issued in RI

Practice address

725 Reservoir Ave Ste 103
Cranston, RI 02910-4451

Phone

(401) 829-4446

Fax

(401) 829-4434

NPI assigned

Jul 13, 2012

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

Other identifiers 1

Other names 1

• Miranda Renee Waddell Former name

Medicare fee-for-service enrollment

Enrolled in RI

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

Specialty

Nurse Practitioner

Education

University of South Alabama College of Medicine, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Trucare IncGroup PAC ID 1850646811, 9 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• The Miriam Hospital Hospital, Providence, RI, CCN 410012

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Trucare Inc

  • Internal Medicine Physician
  • Cranston, RI
  • NPI 1538659081
  Medicare reassignment Care Compare group NPD
• Avenir Ventures LLC

  • Specialist
  • East Providence, RI
  • NPI 1235317371
  Medicare reassignment NPD
• Medicine and Long Term Care Associates, LLC

  • Internal Medicine Physician
  • Cranston, RI
  • NPI 1073539227
  Medicare reassignment NPD
• New England Premier Healthcare LTD

  • Internal Medicine Physician
  • North Smithfield, RI
  • NPI 1447799036
  Medicare reassignment NPD
• Prime Healthcare Services Landmark LLC

  • Hematology & Oncology Physician
  • Woonsocket, RI
  • NPI 1518388651
  Medicare reassignment NPD
• Hospital Medicine Associates LLC

  • Hospitalist Physician
  • Baton Rouge, LA
  • NPI 1093758781

  RI

  Medicare reassignment
• Prime Healthcare Services Landmark LLC

  • General Acute Care Hospital
  • Woonsocket, RI
  • NPI 1699752923
  NPD
• Avenir Ventures, L.L.C.

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Franklinton, NC
  • NPI 1629967138
  NPD
• Our Lady of the Lake Hospital Inc

  • Internal Medicine Physician
  • Baton Rouge, LA
  • NPI 1275577603
  NPD (past)

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

• The Miriam Hospital

  • General Acute Care Hospital
  • Providence, RI
  • NPI 1487649430
  Care Compare affiliation

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

{
    "created_epoch": "1342137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727740800000",
    "number": "1376898569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 RESERVOIR AVE STE 103",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029104451",
            "telephone_number": "401-829-4446",
            "fax_number": "401-829-4434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 RESERVOIR AVE STE 103",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029104451",
            "telephone_number": "401-829-4446",
            "fax_number": "401-829-4434"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Catamore Blvd",
            "address_purpose": "LOCATION",
            "city": "E Providence",
            "state": "RI",
            "postal_code": "02914",
            "country_code": "US",
            "telephone_number": "401-438-0008",
            "fax_number": "401-438-2272",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WING",
        "first_name": "MIRANDA",
        "middle_name": "RENEE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-13",
        "last_updated": "2024-10-01",
        "certification_date": "2024-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "RI",
            "license": "APRN01755",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2316320",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MIRANDA",
            "last_name": "WADDELL",
            "middle_name": "RENEE",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Stephen Thomas Williams, PTA
• Jeffrey Wilson, MD
• Katherine Wilson, LMHC-A
• Laurie A. Wilson, N.P.
• Windward Therapy LLC
• Jeffry Winters, MD
• Robert William Wishtischin, MSPT, SCS, ATC
• Jeannine Witham
• Within You Counseling LLC
• Jartu K Wleh, FNP

• Acute Care Nurse Practitioner in Cranston, RI
• Providers in Cranston, RI by specialty
• Acute Care Nurse Practitioner in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2024; 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.