Miranda Ring, FNP
Individual provider Active NPI Family Nurse Practitioner · Derby, NY
NPI 1962000307 · NPPES record last updated Sep 2, 2021
Key facts
- NPI
- 1962000307
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 345507 (NY)
- Practice address
- 7060 Erie Rd
Derby, NY 14047-9430 - Phone
- (716) 947-0408
- NPI assigned
- Oct 16, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210212000459 | NY | Practitioner - Nurse Practitioner | 2365857984 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lakeshore Family Medicine Assoc PC | Current |
Accepting new patients | |
| General Physician, PC | Past |
Accepting new patients |
Locations
7060 Erie Rd
Ste 100
Derby, NY 14047
Phone (716) 947-0408
7060 Erie Rd
Derby, NY 14047
Phone (716) 677-2273
10626 Main St
North Collins, NY 14111
Phone (716) 337-2422
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 345507 | NY | Yes |
Addresses
Primary practice location
7060 Erie Rd
Derby, NY 14047-9430
Mailing address
8672 Highland Dr
Eden, NY 14057-9502
Phone (845) 800-5114
Other providers in Derby, NY
- Elizabeth Mae Quesenberry
- R J Joba OD PC
- Anthony Angelo Racaniello
- Brittany Raiman
- Emily Rine
- Cherie B Ruben
- Ruby Orcutt Mental Health Counseling, PC
- Alan Joseph Sailer
- Page Ashley Schmidt
- J Douglas Schumer
All providers in Derby, NY · Family Nurse Practitioner in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 2, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.