Miranda Wheeldon, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1156973 Issued in TX

Practice address

109 Quarry Rock Loop
Liberty Hill, TX 78642-4039

Phone

(512) 755-5035

NPI assigned

Apr 9, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Miranda McEntire Former name

Medicare fee-for-service enrollment

Enrolled in TX

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, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Aa OBGYN PLLCGroup PAC ID 6103079462, 38 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Aa OBGYN PLLC

  • Obstetrics & Gynecology Physician
  • Austin, TX
  • NPI 1104170901
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1712620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712620800000",
    "number": "1891548947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 QUARRY ROCK LOOP",
            "city": "LIBERTY HILL",
            "state": "TX",
            "postal_code": "786424039",
            "telephone_number": "512-755-5035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 QUARRY ROCK LOOP",
            "city": "LIBERTY HILL",
            "state": "TX",
            "postal_code": "786424039",
            "telephone_number": "512-755-5035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHEELDON",
        "first_name": "MIRANDA",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-09",
        "last_updated": "2024-04-09",
        "certification_date": "2024-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1156973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MIRANDA",
            "last_name": "MCENTIRE",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Michelle Warner
• Wecare Home Care
• Lawrence Otto Wehlmann, RPH
• Allison Wells
• Michelle Renee West, D.D.S.
• Heather Lynne Willard, LAT, CSCS
• Elizabeth C. N. Winful-Acquaye, M.D.
• Cecilia Norwood Wisbrun, M.A., CCC-SLP
• Paul Mitchell Wolf, M.D.
• Rachel N Woolley, APRN-CNP

• Family Nurse Practitioner in Liberty Hill, TX
• Providers in Liberty Hill, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 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.