Individual provider Active NPI

Melissa Gisela Miranda, APRN

  • Family Medicine Physician
  • Pembroke Pines, FL
National Provider Identifier
1396546156
Registry record updated Mar 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
F11230793 Issued in FL
Practice address
1294 NW 159TH Ave
Pembroke Pines, FL 33028-1625
Phone
(954) 654-0972
NPI assigned
Mar 19, 2025
Last updated
Mar 19, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X F11230793 FL Primary

Addresses

Primary practice location

1294 NW 159TH Ave
Pembroke Pines, FL 33028-1625

Mailing address

1294 NW 159TH Ave
Pembroke Pines, FL 33028-1625
Phone (954) 654-0972

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20260129001391 FL Practitioner - Nurse Practitioner 4284112442 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ivx Health of Florida PAGroup PAC ID 8426470626, 47 clinicians

Practice addresses (Care Compare)

18253 Pines Blvd
Pembroke Pines, FL 33029-1418
Phone (954) 686-6501

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F11230793FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ivx Health of Florida, P.a. CurrentSince Jan 5, 2026 Accepting new patients

Locations

1861 Cordova Rd
Ft Lauderdale, FL 33316
Phone (754) 778-8898

2308 Pine Ridge Rd
Naples, FL 34109
Phone (239) 213-3601

18253 Pines Blvd
Pembroke Pines, FL 33029
Phone (954) 686-6501

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1742342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742342400000",
    "number": "1396546156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1294 NW 159TH AVE",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330281625",
            "telephone_number": "954-654-0972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1294 NW 159TH AVE",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330281625",
            "telephone_number": "954-654-0972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRANDA",
        "first_name": "MELISSA",
        "middle_name": "GISELA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-19",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "F11230793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

Verify at the official NPI Registry.