Miranda N Elliott, - Medicare Nurse Practitioner in Kingsport, TN

  1. Home
  2. Nurse Practitioner
  3. TN
  4. Kingsport
Miranda N Elliott, is a medicare enrolled "Nurse Practitioner - Primary Care" in Kingsport, Tennessee. Her current practice location is 130 W Ravine Rd, Kingsport, Tennessee. You can reach out to her office (for appointments etc.) via phone at (423) 224-4000.

Miranda N Elliott is licensed to practice in Tennessee (license number 29447) 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 1669048294.

Contact Information

Miranda N Elliott,
130 W Ravine Rd,
Kingsport, TN 37660-3837
(423) 224-4000
Not Available

Map and Direction




Provider's Profile

Full NameMiranda N Elliott
GenderFemale
SpecialityNurse Practitioner - Primary Care
Location130 W Ravine Rd, Kingsport, Tennessee
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1669048294
  • Provider Enumeration Date: 06/03/2021
  • Last Update Date: 08/28/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 8820473499
  • Enrollment ID: I20220917000089

Medical Identifiers

Medical identifiers for Miranda N Elliott such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1669048294NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 29447 (Tennessee)Secondary
363LP2300XNurse Practitioner - Primary Care 29447 (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. Miranda N Elliott allows following entities to bill medicare on her behalf.
Entity NameSoutheastern Physician Services Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083835441
PECOS PAC ID: 0042307852
Enrollment ID: O20071025000571
Entity NameWellmont Medical Associates Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780986257
PECOS PAC ID: 8123291739
Enrollment ID: O20111026000909
Entity NameIpc Pac Healthcare Services Of Tennessee Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104277656
PECOS PAC ID: 0840587572
Enrollment ID: O20160928000541
Entity NameNv Pacs 2 Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427534809
PECOS PAC ID: 0941550578
Enrollment ID: O20210903001263

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. Miranda N Elliott 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
Miranda N Elliott,
1021 W Oakland Ave Ste 310,
Johnson City, TN 37604-2192

Ph: (423) 302-6565		Miranda N Elliott,
130 W Ravine Rd,
Kingsport, TN 37660-3837

Ph: (423) 224-4000

Reviews and Comments


Nurse Practitioner Nurses in Kingsport, TN

Mrs. Cathy A Greenwood, FNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3136 Winesap Rd, Kingsport, TN 37663
Phone: 423-726-2077    
Lauren Ashley Ernst, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1041 E Sullivan St, Kingsport, TN 37660
Phone: 423-279-2777    
Kelly A Cox, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2050 Meadowview Pkwy, Kingsport, TN 37660
Phone: 423-230-5000    Fax: 423-230-5613
Sherry Lynn Goode, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 130 W Ravine Rd, Kingsport, TN 37660
Phone: 423-224-3628    Fax: 423-224-3629
Amanda M Malone, MSN, FNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 101 Professional Park Pvt Dr, Kingsport, TN 37663
Phone: 423-239-7300    
Mrs. Amanda Susan Burns, ARNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 111 W Stone Dr Ste 110, Kingsport, TN 37660
Phone: --    
Mary Renee Mcnees, FNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2300 Pavilion Drive, Kingsport, TN 37660
Phone: 423-765-9655    Fax: 423-979-6333

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.