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Active NPI 1982305462 Individual Practitioner Male Practitioner

Mauricio Junior Miranda , PA-C

Physician Assistant • Wauconda, IL

Professional Overview & Biography Verified Profile Summary

Mauricio Miranda, PA-C is a registered healthcare professional specializing in Physician Assistant in Wauconda, IL. Practice services are available at 431 W LIBERTY ST under active NPI credentials.

Frequently performed procedures and clinical services include visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

431 W Liberty St

Wauconda, IL 600842452

Telephone 8475262151
Fax 8475262017
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Wauconda, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.6 Yrs
State Avg: 11.7 Yrs
Regional Practice Density
9 Specialists

Practicing in Wauconda, IL (4958 Statewide)

Telehealth Adoption Rate
33.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
62.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's
17 16 $80.00 $14.23
99213 Established patient office or other outpatient visit, typically 15 minutes
12 11 $170.00 $79.88

Medical Specialties & State Licenses

CMS Verified: 2023-09-21
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License IL 085009878

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Kristine Redmond , APRN, NP-C

Nurse Practitioner - Family

NPI 1023424389

Advanced Practice Registered Nurse, Nurse Practitioner (Certified)

Ileana Schropp , FNP

Nurse Practitioner - Family

NPI 1043085301

Family Nurse Practitioner

Karen Anne Violago , NP-C

Nurse Practitioner - Family

NPI 1053800516

Nurse Practitioner (Certified)

Amy Bonfiglio , FNP-C

Nurse Practitioner - Family

NPI 1083085013

Family Nurse Practitioner (Certified)

Tabitha Gardner , APN

Nurse Practitioner

NPI 1093254443

Advanced Practice Nurse

Corrie Mcmahon , FNP

Nurse Practitioner - Family

NPI 1104423094

Family Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location September 21, 2023

Registered at 431 W LIBERTY ST, WAUCONDA, IL 600842452 (Tel: 8475262151)

📍
Updated Business Mailing Address September 21, 2023

Registered at PO BOX 6037, WAUCONDA, IL 600846037 (Tel: 8475262151)

👤
Provider Name / Credentials Updated September 21, 2023

Recorded as MAURICIO MIRANDA, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 21, 2023

Physician Assistant (License #085009878 in IL)

NPI Profile Active March 13, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location March 13, 2023

Registered at 507 NORTH 17TH STREET, MILWAUKEE, WI 53233 (Tel: 4142885688)

📍
Updated Business Mailing Address March 13, 2023

Registered at 507 NORTH 17TH STREET, MILWAUKEE, WI 53233

👤
Provider Name / Credentials Updated March 13, 2023

Recorded as MAURICIO MIRANDA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 13, 2023

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration March 13, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1982305462
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 13, 2023
Last Update: September 21, 2023
Sole Proprietor: Yes

Mailing Address

Po Box 6037

Wauconda, IL 600846037

Phone: 8475262151

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.