Miranda Louise Faris, NURSE PRACTITIONER

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F07191270 Issued in IN

Practice address

11188 N 550 E
Demotte, IN 46310-8947

Phone

(219) 964-5312

NPI assigned

Feb 12, 2020

Last updated

Feb 12, 2020By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in IN

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

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rci (WRS) LLCGroup PAC ID 5092624510, shared by 17 NPIs, 325 clinicians

Winfield Family Medicine, LLCGroup PAC ID 8123021375, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Sunrise Home Health Care Services Inc Home health agency, Merrillville, IN, CCN 157634
• Pinnacle Hospital Hospital, Crown Point, IN, CCN 150166
• St Mary Medical Center Inc Hospital, Hobart, IN, CCN 150034
• Franciscan Health Crown Point Hospital, Crown Point, IN, CCN 150126

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/18290/brand/1/csg/1/fhir/r4
• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
• Direct secure messaging: miranda.faris@wfml-in.direct.office.nextgen.com

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.

• Winfield Family Medicine LLC

  • Family Medicine Physician
  • Crown Point, IN
  • NPI 1568413177
  Medicare reassignment Care Compare group NPD

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

• Franciscan Health Crown Point

  • General Acute Care Hospital
  • Crown Point, IN
  • NPI 1336205798
  Care Compare affiliation
• Pinnacle Healthcare LLC

  dba Pinnacle Hospital

  • General Acute Care Hospital
  • Crown Point, IN
  • NPI 1801969670
  Care Compare affiliation
• St Mary Medical Center Inc

  • General Acute Care Hospital
  • Hobart, IN
  • NPI 1558463745
  Care Compare affiliation
• St Mary Medical Center Inc

  dba St Mary Wound Clinic

  • General Acute Care Hospital
  • Hobart, IN
  • NPI 1962504175
  Care Compare affiliation
• Sunrise Home Health Care Services, Inc.

  • Home Health Agency
  • Merrillville, IN
  • NPI 1093038853
  Care Compare affiliation

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

{
    "created_epoch": "1581465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581465600000",
    "number": "1659903144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11188 N 550 E",
            "city": "DEMOTTE",
            "state": "IN",
            "postal_code": "463108947",
            "telephone_number": "219-964-5312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11188 N 550 E",
            "city": "DEMOTTE",
            "state": "IN",
            "postal_code": "463108947",
            "telephone_number": "219-964-5312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARIS",
        "first_name": "MIRANDA",
        "middle_name": "LOUISE",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-12",
        "last_updated": "2020-02-12",
        "certification_date": "2020-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "F07191270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dobson Chiropractic Center PC
• Mark John Dobson, D.C
• Dodi R. Woolley DDS, Inc (Smile Your Best Dental)
• Demiana Elgendi
• Donabelle Reyes Eliscupides, PT
• Arsenio Santiago Favor, M.D.
• Hailey N Ferguson
• Shannon Sue Frieden
• Lauren Gierke, LCSW
• Samuel Gurevitz, PHARMD

• Family Nurse Practitioner in Demotte, IN
• Providers in Demotte, IN by specialty
• Family Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2020; 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.