Claudia Chantelle Miracle, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

151984 Issued in AK

Practice address

4020 Folker St
Anchorage, AK 99508-5321

Phone

(907) 563-1000

Fax

(907) 563-2045

NPI assigned

Oct 30, 2019

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

Medicare fee-for-service enrollment

Enrolled in AK

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

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: claudia.miracle.1@18773.direct.athenahealth.com
• Direct secure messaging: claudia.miracle.p1@direct.sokya.nextgenshare.com

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.

• Achieve Medical Alaska LLC

  • Medical Specialty Clinic/Center
  • Wasilla, AK
  • NPI 1922648690

  Single Specialty

  Medicare reassignment NPD
• Fireweed Health Care Inc

  • Nurse Practitioner
  • Anchorage, AK
  • NPI 1073653424

  Single Specialty

  Medicare reassignment NPD
• Sokyahealth Medical Group PC

  • Mental Health Counselor
  • Portland, OR
  • NPI 1447842232

  AK, Single Specialty

  Medicare reassignment NPD
• TMS Center of Alaska LLC

  • Psychiatry Physician
  • Anchorage, AK
  • NPI 1114454808

  Single Specialty

  NPD

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

{
    "created_epoch": "1572393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572393600000",
    "number": "1952945255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5632 TUDOR SQUARE CT",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995045305",
            "telephone_number": "907-947-5985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4020 FOLKER ST",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085321",
            "telephone_number": "907-563-1000",
            "fax_number": "907-563-2045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRACLE",
        "first_name": "CLAUDIA",
        "middle_name": "CHANTELLE",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-30",
        "last_updated": "2019-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AK",
            "license": "151984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Minshall, PT
• Mint Dental LLC
• Triin Minton, MD
• Wesley Brant Minton, DPT
• Darian Minyetty
• Miracle'S Heavenly Hands II, LLC
• Miracle'S Heavenly Hands, LLC
• Valerie Jean Miraglia, MS, LPA, RPT-S
• Kuuipo Miramontes
• Irene Lapuz Miranda, RN

• Psychiatric/Mental Health Nurse Practitioner in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Psychiatric/Mental Health Nurse Practitioner in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2019; 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.