Individual provider Active NPI

Miranda Valerio, PA-C

  • Physician Assistant
  • Paoli, PA
National Provider Identifier
1871331256
Registry record updated Dec 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA067243 Issued in PA
Practice address
250 W Lancaster Ave Ste 250
Paoli, PA 19301-1774
Phone
(484) 413-2572
NPI assigned
Jul 18, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA067243 PA Primary
Physician Assistant 363A00000X OA007495 PA

Addresses

Primary practice location

250 W Lancaster Ave Ste 250
Paoli, PA 19301-1774

Mailing address

250 W Lancaster Ave Ste 250
Paoli, PA 19301-1774

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20260205000029 PA Practitioner - Physician Assistant 4688153174 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lower Merion Neurology, PC.Group PAC ID 3678812963, 2 clinicians

Practice addresses (Care Compare)

250 W Lancaster Ave
Suite 220
Paoli, PA 19301-1751
Phone (484) 413-2572

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA067243PAMDPhysician Assistant
OA007495PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lower Merion Neurology, PC CurrentSince Jan 12, 2026 Accepting new patients
Neurology Consultants PastSince Dec 28, 2025 Accepting new patients

Locations

250 W Lancaster Ave
Ste 220
Paoli, PA 19301
Phone (484) 413-2572

250 W Lancaster Ave
Ste 250
Paoli, PA 19301
Phone (484) 413-2572

100 E Lancaster Ave
Ste 161
Wynnewood, PA 19096
Phone (610) 642-5371

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1721260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766448000000",
    "number": "1871331256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 W LANCASTER AVE STE 250",
            "city": "PAOLI",
            "state": "PA",
            "postal_code": "193011774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 W LANCASTER AVE STE 250",
            "city": "PAOLI",
            "state": "PA",
            "postal_code": "193011774",
            "telephone_number": "484-413-2572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALERIO",
        "first_name": "MIRANDA",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-18",
        "last_updated": "2025-12-23",
        "certification_date": "2025-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA067243",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "OA007495",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paoli, PA

Sources for this page

Verify at the official NPI Registry.