Individual provider Active NPI

Miranda K Caccamise, APRN, FNP-BC

  • Nurse Practitioner
  • Pembroke Pines, FL
National Provider Identifier
1831539436
Registry record updated Jul 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN11018775 Issued in FL
Practice address
880 SW 145TH Ave Ste 202
Pembroke Pines, FL 33027-6171
Phone
(866) 849-0692
NPI assigned
Jun 27, 2013
Last updated
Jul 1, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2026

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

Specialties & licenses 12

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 5017608 NC
Nurse Practitioner 363L00000X 29582 SC
Nurse Practitioner 363L00000X 0037900 OH
Family Nurse Practitioner 363LF0000X F337958-1 NY
Nurse Practitioner 363L00000X APRN11018775 FL Primary
Nurse Practitioner 363L00000X 1076815 TX
Nurse Practitioner 363L00000X 278276 AZ
Nurse Practitioner 363L00000X 10007149 OR
Nurse Practitioner 363L00000X SP028640 PA
Nurse Practitioner 363L00000X APN.1000303-NP CO
Nurse Practitioner 363L00000X AP61640609 WA
Nurse Practitioner 363L00000X 0024197957. VA

Addresses

Primary practice location

880 SW 145TH Ave Ste 202
Pembroke Pines, FL 33027-6171

Mailing address

PO Box 211699
Eagan, MN 55121-3699
Phone (866) 849-0692

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dmglicenseupdates@devoted.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, FL, TX, OR, AZ, PA, NC, CO, KY, SC10 enrollments
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 10

Enrollment IDStateProvider typePAC IDDetails
I20140131000097 NY Practitioner - Nurse Practitioner 3476782095 Reassigns benefits to 4 organizations
I20220817001177 FL Practitioner - Nurse Practitioner 3476782095 Reassigns benefits to 1 organization
I20230801003328 TX Practitioner - Nurse Practitioner 3476782095 Reassigns benefits to 1 organization
I20230808000838 OR Practitioner - Nurse Practitioner 3476782095 Reassigns benefits to 1 organization
I20230808003242 AZ Practitioner - Nurse Practitioner 3476782095 Reassigns benefits to 1 organization
I20240425001434 PA Practitioner - Nurse Practitioner 3476782095 Reassigns benefits to 1 organization
I20240503001415 NC Practitioner - Nurse Practitioner 3476782095 Reassigns benefits to 1 organization
I20241126004456 CO Practitioner - Nurse Practitioner 3476782095 Reassigns benefits to 1 organization
I20241205000917 KY Practitioner - Nurse Practitioner 3476782095 Reassigns benefits to 1 organization
I20241220000909 SC Practitioner - Nurse Practitioner 3476782095

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
337958NYMDLicensed Practical Nurse
278276AZMDNurse Practitioner
APRN11018775FLMDNurse Practitioner
5017608NCMDNurse Practitioner
0037900OHMDNurse Practitioner
29582SCMDNurse Practitioner
1076815TXMDNurse Practitioner
AP61640609WAMDNurse Practitioner
F337958-1NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Highland Hospital of Rochester CurrentSince Mar 4, 2017 Accepting new patients
University of Rochester Urgent Care CurrentSince Mar 27, 2018 Accepting new patients
VMD Primary Providers Colorado, Inc CurrentSince Jun 15, 2025 Accepting new patients
University of Rochester CurrentSince Mar 27, 2018 Accepting new patients
Devoted Medical NC PC CurrentSince Apr 19, 2024 Accepting new patients
Emergency Associates - University of Rochester CurrentSince Jul 15, 2013 Accepting new patients
Highland Hospital of Rochester CurrentSince Mar 4, 2017 Accepting new patients
University of Rochester CurrentSince Mar 27, 2018 Accepting new patients
Devoted Medical Group of Texas Inc CurrentSince Jul 19, 2023 Accepting new patients
University of Rochester Current Accepting new patients
Devoted Medical PA PC CurrentSince Apr 15, 2024 Accepting new patients

Locations

3519 Richmond Dr
Fort Collins, CO 80526
Phone (970) 204-0300

2025 Bighorn Rd
Fort Collins, CO 80525
Phone (970) 229-9800

221 Crescent St
Ste 202
Waltham, MA 02453
Phone (617) 958-1611

601 Elmwood Ave
Rochester, NY 14642
Phone (585) 275-9555

1000 South Ave
Rochester, NY 14620
Phone (585) 341-0366

82 Holland St
Rochester, NY 14605
Phone (585) 423-2816

1000 South Ave
#58
Rochester, NY 14620
Phone (585) 341-6776

100 S Juniper St
Fl 3
Philadelphia, PA 19107
Phone (267) 999-9534

220 N Main St
Ste 500
Greenville, SC 29601
Phone (347) 294-3414

1201 Fannin St
Ste 262
Houston, TX 77002
Phone (714) 873-6202

Interoperability endpoints

  • Direct secure messaging: mcaccamise21402@direct.urmc.rochester.edu

Organizations & group practices 12

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": "1372291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782864000000",
    "number": "1831539436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 211699",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551213699",
            "telephone_number": "866-849-0692",
            "fax_number": "888-973-8821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 SW 145TH AVE STE 202",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330276171",
            "telephone_number": "866-849-0692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CACCAMISE",
        "first_name": "MIRANDA",
        "middle_name": "K",
        "credential": "APRN, FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-27",
        "last_updated": "2026-07-01",
        "certification_date": "2026-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5017608",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SC",
            "license": "29582",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "0037900",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F337958-1",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11018775",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1076815",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "278276",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OR",
            "license": "10007149",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP028640",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "APN.1000303-NP",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP61640609",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024197957.",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dmglicenseupdates@devoted.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "880 SW 145th Ave Ste 202",
            "city": "Pembroke Pines",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330276171",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

Verify at the official NPI Registry.