Miranda A Nettleton

Individual provider Active NPI Chore Provider · Wakefield, NE

NPI 1962205286 · NPPES record last updated Dec 19, 2025

Key facts

NPI
1962205286
Entity type
Individual (NPI type 1)
Primary specialty
Chore Provider 372500000X
Practice address
501 E 9TH St Apt 2108
Wakefield, NE 68784-5140
Phone
(402) 369-3855
NPI assigned
Mar 31, 2025
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Northstar Services Past
since Apr 6, 2025
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Chore Provider 372500000X Yes
Adult Companion 372600000X
Personal Care Attendant 3747P1801X

Addresses

Primary practice location

501 E 9TH St Apt 2108
Wakefield, NE 68784-5140

Mailing address

501 E 9TH St Apt 2108
Wakefield, NE 68784-5140

Other providers in Wakefield, NE

All providers in Wakefield, NE · Chore Provider in Nebraska

Sources for this page

Verify at the official NPI Registry.