Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1578839593 Individual Practitioner Female Practitioner

Miranda Debord Willette , PA-C

Physician Assistant • San Antonio, TX

Professional Overview & Biography Verified Profile Summary

Miranda Willette, PA-C is a registered healthcare professional specializing in Physician Assistant in San Antonio, TX. Practice services are available at 2710 NOGALITOS under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, 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, insertion of needle into vein for collection of blood sample. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2710 Nogalitos

San Antonio, TX 782251750

Telephone 2104368400
Fax 8334521052
Associated Practice Facility / Clinic
🏢 Walgreen Co Facility NPI 1730194747

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in San Antonio, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.2 Yrs
State Avg: 13.9 Yrs
Regional Practice Density
888 Specialists

Practicing in San Antonio, TX (11140 Statewide)

Telehealth Adoption Rate
13.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
63.0% 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)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
39 27 $292.00 $104.03
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
28 19 $32.00 $13.38
36415 Insertion of needle into vein for collection of blood sample
17 16 $17.00 $8.65

Medical Specialties & State Licenses

CMS Verified: 2023-01-27
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License TX PA07761

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.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Dps
R0187954 (TX)
Commercial Insurance / Payer ID Medical License
PA07761 (TX)
Commercial Insurance / Payer ID Caqh
12370726 (TX)

Secondary Practice Locations

12702 Toepperwein, Suite 104

San Antonio, TX 78233

Phone: 2106534420

Practice Associates & Co-Workers

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

13 Associated Practitioners
Dr. Holly Wyder , MD

Internal Medicine

NPI 1093997488

Doctor of Medicine (M.D.)

Rebecca Wagner , PA

Physician Assistant

NPI 1134662299

Physician Assistant

Dr. Alan Boyar , MD

Internal Medicine - Allergy & Immunology

NPI 1295728038

Doctor of Medicine (M.D.)

Dr. Karen Stewart , MD

Internal Medicine

NPI 1295755981

Doctor of Medicine (M.D.)

Dr. James Kelly , MD

Family Medicine

NPI 1447543087

Doctor of Medicine (M.D.)

Richard Keim , PA-C

Physician Assistant - Medical

NPI 1548251523

Physician Assistant (Certified)

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location January 27, 2023

Registered at 2710 NOGALITOS, SAN ANTONIO, TX 782251750 (Tel: 2104368400)

📍
Updated Business Mailing Address January 27, 2023

Registered at 2710 NOGALITOS STE 104, SAN ANTONIO, TX 782251750 (Tel: 2104368400)

NPI Profile Active June 17, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location June 17, 2014

Registered at 12702 TOEPPERWEIN, SUITE 104, SAN ANTONIO, TX 78233 (Tel: 2106534420)

📍
Updated Business Mailing Address June 17, 2014

Registered at 12702 TOEPPERWEIN, SUITE 104, SAN ANTONIO, TX 78233 (Tel: 2106534420)

👤
Provider Name / Credentials Updated June 17, 2014

Recorded as MIRANDA WILLETTE, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 17, 2014

Physician Assistant (License #PA07761 in TX)

🟢
Initial NPI Registration & Enumeration March 23, 2012

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: 1578839593
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 23, 2012
Last Update: March 07, 2023
Sole Proprietor: No

Mailing Address

2710 Nogalitos Ste 104

San Antonio, TX 782251750

Phone: 2104368400

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.