Miranda Jayne Nelson , FNP-BC
Nurse Practitioner โข Alma, MI
200 E Warwick Dr
Alma, MI 48801
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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NPI assigned on September 21, 2018; this date does not establish years in practice.
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Published CMS data list 104 Original Medicare Part B services in 2022.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2022. Published rows only; this is not a quality measure.
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Published Part B service records, 2022:
- 99213 โ Established patient outpatient office visit: 83 service units.
- 99214 โ Established patient outpatient office visit: 21 service units.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2022. Units differ by code; these are not visits or a measure of quality.
CPTยฎ only copyright 2021 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2022). CPT notice
See the full table ยท Guide: How to read Medicare Part B data
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Published CMS data list 554 Medicare Part D prescriptions, including refills, in 2022.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2022. Published rows only; this is not a quality measure.
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Published Part D records, 2022:
- Atorvastatin Calcium โ 52 prescription fills, including refills.
- Omeprazole โ 45 prescription fills, including refills.
- Lisinopril โ 35 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2022. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 26 records in the table ยท Guide: How to read Medicare Part D prescriber data
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Medicare Part B services went from 20 in 2018 to 104 in 2022.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2018โ2022.
Practice Location & Contact Primary Location
200 E Warwick Dr
Alma, MI 48801
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
NPPES lists 1 additional practice-address record in Owosso, MI. See the list
Source: CMS NPPES NPI Registry, practice location records; release date unavailable.
CMS Doctors and Clinicians lists 1 group name: St Francis Hospital. See the list
Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
2018
What Public CMS Data Show
Nurse Practitioner: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare-allowed amount
About $6,151 in 2022
The total amount Medicare approved for these services in 2022. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2022.
Paid by Medicare
About $4,438 in 2022
The part of the Medicare-allowed amount that Medicare itself paid in 2022, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2022.
30-day fills
1,026 standardized 30-day fills in 2022
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$36,156 in 2022
The total cost of these prescriptions in 2022, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2022.
Industry payments (Open Payments)
No Open Payments records are listed for this clinician for 2021โ2025.
Years since graduation
8 years (graduated 2018)
CMS Doctors and Clinicians data list 2018 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2018
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, โDoes your provider accept Medicare as full payment?โ
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Miranda Nelson has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Miranda Nelson as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Alma and Michigan
Billing and prescribing volume is not a quality rating.
Medicare Part B
Comparisons use 2024 data. The latest CMS data for Miranda Nelson are from 2022.
Medicare Part D
Comparisons use 2024 data. The latest CMS data for Miranda Nelson are from 2022.
14 active clinicians are listed under Nurse Practitioner with a practice address in Alma, MI (3,576 in Michigan).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Alma
7.1% of these 14 clinicians have the CMS telehealth indicator.
85.7% of these 14 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services increased 420% from 20 in 2018 to 104 in 2022.
- 2018: 20
- 2022: 104
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Medicare-allowed amount
Medicare-allowed amount increased 416% from $1,192 in 2018 to $6,151 in 2022.
- 2018: $1,192
- 2022: $6,151
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Paid by Medicare
Paid by Medicare went from $949 in 2018 to $4,438 in 2022.
- 2018: $949
- 2022: $4,438
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Medicare Part D prescriptions
Medicare Part D prescriptions increased 144% from 227 in 2019 to 554 in 2022.
- 2019: 227
- 2020: 472
- 2021: 775
- 2022: 554
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30-day fills
30-day fills increased 266% from 280 in 2019 to 1,026 in 2022.
- 2019: 280
- 2020: 728
- 2021: 1,542
- 2022: 1,026
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Part D drug cost
Part D drug cost increased 1844% from $1,860 in 2019 to $36,156 in 2022.
- 2019: $1,860
- 2020: $22,127
- 2021: $58,025
- 2022: $36,156
Sources: CMS Medicare Physician & Other Practitioners (2022), CMS Medicare Part D Prescribers (2022), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo ยท Report an error.
Performed Procedures & Service Volume
CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2017โ2021 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ by Provider and Service data, 2018โ2022; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
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83 | 73 | $138.00 | $53.95 |
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99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
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21 | 21 | $198.00 | $79.65 |
Source: CMS Part B by Provider and Service, 2022; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2022.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Atorvastatin Calcium | Atorvastatin Calcium | 52 | 4,110 | $556.79 | 17 |
| Omeprazole | Omeprazole | 45 | 2,574 | $497.28 | 13 |
| Lisinopril | Lisinopril | 35 | 2,666 | $255.29 | 13 |
| Levothyroxine Sodium | Levothyroxine Sodium | 32 | 2,220 | $499.34 | 11 |
| Amlodipine Besylate | Amlodipine Besylate | 31 | 1,590 | $199.46 | โ |
| Cephalexin | Cephalexin | 30 | 216 | $133.67 | 30 |
| Prednisone | Prednisone | 29 | 200 | $79.91 | 27 |
| Fluticasone Propionate | Fluticasone Propionate | 29 | 1,380 | $561.82 | 13 |
| Metformin Hcl | Metformin Hcl | 25 | 1,384 | $125.60 | โ |
| Simvastatin | Simvastatin | 20 | 1,500 | $189.76 | โ |
| Lantus Solostar | Insulin Glargine,hum.Rec.Anlog | 20 | 655 | $8,740.99 | โ |
| Losartan Potassium | Losartan Potassium | 18 | 1,545 | $294.26 | โ |
| Amoxicillin-Clavulanate Potass | Amoxicillin/Potassium Clav | 18 | 136 | $118.75 | 18 |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 17 | 655 | $992.87 | โ |
| Doxycycline Hyclate | Doxycycline Hyclate | 16 | 145 | $236.72 | 16 |
| Alendronate Sodium | Alendronate Sodium | 16 | 784 | $62.80 | โ |
| Metformin Hcl Er | Metformin Hcl | 14 | 793 | $173.48 | โ |
| Hydrochlorothiazide | Hydrochlorothiazide | 13 | 1,080 | $42.87 | โ |
| Ciprofloxacin Hcl | Ciprofloxacin Hcl | 12 | 71 | $68.15 | 12 |
| Furosemide | Furosemide | 12 | 720 | $48.20 | โ |
| Potassium Chloride | Potassium Chloride | 12 | 720 | $320.00 | โ |
| Nitrofurantoin Mono-Macro | Nitrofurantoin Monohyd/M-Cryst | 12 | 62 | $170.90 | 12 |
| Latanoprost | Latanoprost | 12 | 385 | $360.19 | โ |
| Trelegy Ellipta | Fluticasone/Umeclidin/Vilanter | 12 | 600 | $11,928.95 | โ |
| Metoprolol Tartrate | Metoprolol Tartrate | 11 | 990 | $52.45 | โ |
(top 25 shown)
Source: CMS Part D by Provider and Drug, 2022; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
NUCC Taxonomy Code: 363L00000X
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
NUCC Taxonomy Code: 363LF0000X
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - NURSE PRACTITIONER
I20181220001228
MI
6305181249
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File
St Francis Hospital
3409 Ludington St, Escanaba, MI 498294213
Secondary Practice Locations
200 Health Park Dr
Owosso, MI 488671291
Phone: 9897238666
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Internal Medicine
Doctor of Medicine (M.D.)
Internal Medicine
Doctor of Medicine (M.D.)
Nurse Practitioner
Nurse Practitioner
Nurse Practitioner
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 200 E WARWICK DR, ALMA, MI 48801 (Tel: 9894635876)
Registered at 200 E WARWICK DR, ALMA, MI 488011012 (Tel: 9894635876)
Nurse Practitioner (license number reported to NPPES: MI 4704289629)
NPI status registered as active in NPPES database
Registered at 200 HEALTH PARK DR, OWOSSO, MI 488671291 (Tel: 9897238666)
Registered at 200 HEALTH PARK DR, OWOSSO, MI 488671291
Recorded as MIRANDA NELSON, FNP-BC
Nurse Practitioner (license number reported to NPPES: MI 4704289629)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Nurse Practitioners in Alma
- Regan Waldron, NP
- Vanessa Wieferich, NP
- Cassandra Moore, NP
- Emily Rummer, AGNP
- Dr. Keagan Thomas, DNP, FNP-BC
- Angela Jensen, FNP-BC
Mailing Address
200 E Warwick Dr
Alma, MI 488011012
Phone: 9894635876