Miranda Christensen, PA-C
Individual provider Active NPI Physician Assistant · Huxley, IA
NPI 1982154886 · NPPES record last updated Oct 4, 2016
Key facts
- NPI
- 1982154886
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 084412 (IA)
- Practice address
- 305 US-69
Huxley, IA 50124 - Phone
- (515) 597-2600
- NPI assigned
- Oct 4, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Iowa Physicians Clinic Medical Foundation
Practice addresses (Care Compare)
305 S US Hwy 69
Family Med Huxley
Huxley, IA 50124-8095
Phone (515) 597-2600
4480 Utica Ridge Rd
Bettendorf, IA 52722-1644
4480 Utica Ridge Rd
Suite 160
Bettendorf, IA 52722-1637
Phone (563) 742-5950
Hospital & facility affiliations
- Mary Greeley Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
- 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 |
|---|---|---|---|---|
| I20161205000606 | IA | Practitioner - Physician Assistant | 4880974047 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Iowa Physicians Clinic Medical Foundation | Current |
Accepting new patients | |
| Iowa Physicians Clinic Medical Foundation | Physician Assistant | Current |
Accepting new patients |
| St Luke'S Methodist Hospital | Current | Accepting new patients | |
| Boone County Hospital | Past | Accepting new patients |
Locations
4480 Utica Ridge Rd
Ste 160
Bettendorf, IA 52722
Phone (563) 742-5950
4480 Utica Ridge Rd
Ste 2230
Bettendorf, IA 52722
Phone (563) 742-5150
305 S US Highway 69
Huxley, IA 50124
Phone (515) 597-2600
8101 Birchwood Ct
Unit R
Urbandale, IA 50131
Phone (515) 471-9363
Interoperability endpoints
- mchristensen466556@direct.unitypoint.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 084412 | IA | Yes |
Addresses
Primary practice location
305 US-69
Huxley, IA 50124
Mailing address
17315 290TH St
Templeton, IA 51463-8511
Phone (712) 210-4755
Other providers in Huxley, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 4, 2016. 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).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.