Maylee Grace Miracle, PMHNP-BC - Medicare Nurse Practitioner in Johnson City, TN

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Maylee Grace Miracle, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Johnson City, Tennessee. Her current practice location is 926 W Oakland Ave Ste 202, Johnson City, Tennessee. You can reach out to her office (for appointments etc.) via phone at (423) 850-1150.

Maylee Grace Miracle is licensed to practice in Tennessee (license number 34099) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1275224594.

Contact Information

Maylee Grace Miracle, PMHNP-BC
926 W Oakland Ave Ste 202,
Johnson City, TN 37604-1445
(423) 850-1150
Not Available

Map and Direction




Provider's Profile

Full NameMaylee Grace Miracle
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location926 W Oakland Ave Ste 202, Johnson City, Tennessee
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1275224594
  • Provider Enumeration Date: 05/17/2023
  • Last Update Date: 10/09/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 7416390786
  • Enrollment ID: I20240205000619

Medical Identifiers

Medical identifiers for Maylee Grace Miracle such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1275224594NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 0000245367 (Tennessee)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 34099 (Tennessee)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Maylee Grace Miracle allows following entities to bill medicare on her behalf.
Entity NameHealthy Mind Counseling Services, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457409898
PECOS PAC ID: 8325093081
Enrollment ID: O20070827000096

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Maylee Grace Miracle is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Maylee Grace Miracle, PMHNP-BC
926 W Oakland Ave Ste 202,
Johnson City, TN 37604-1445

Ph: (423) 850-1150		Maylee Grace Miracle, PMHNP-BC
926 W Oakland Ave Ste 202,
Johnson City, TN 37604-1445

Ph: (423) 850-1150

Reviews and Comments


Nurse Practitioner Nurses in Johnson City, TN

Amber Ramsey, FNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 119 Boone Ridge Dr, Suite 201, Johnson City, TN 37615
Phone: 423-282-1480    Fax: 423-928-1353
Connie T Rutledge, NP
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Medicare: Accepting Medicare Assignments
Practice Location: 121 Boone Ridge Dr Ste 1004, Johnson City, TN 37615
Phone: 423-794-5988    Fax: 423-232-8583
Charity Helton, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 325 N. State Of Franklin Road, Ground Fl, Johnson City, TN 37604
Phone: 423-439-7320    
Meghan Marie Hollier, PMHNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1018 Chase Dr, Johnson City, TN 37604
Phone: 423-282-3379    Fax: 423-430-6227
Michael David Smith, NURSE PRACTITIONER
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3019 Peoples St # Condo300, Johnson City, TN 37604
Phone: 423-461-2100    Fax: 423-461-2199
Shelly J Mcintosh, FNP
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Medicare: Not Enrolled in Medicare
Practice Location: 301 Med Tech Pkwy, Suite 240, Johnson City, TN 37604
Phone: 423-794-5520    Fax: 423-282-0720
Mr. Seth M Mclaughlin, FNP NP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 926 W Oakland Ave Ste 208, Johnson City, TN 37604
Phone: 423-952-5300    Fax: 423-402-8557

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.