Miranda Reshae Bostic, PMHNP-BC in Portland, OR

Miranda Reshae Bostic, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Portland, Oregon. Her current practice location is 5441 S Macadam Ave Ste A, Portland, Oregon. You can reach out to her office (for appointments etc.) via phone at (541) 248-1204.

Miranda Reshae Bostic is licensed to practice in Oregon (license number 10042383) 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 1346668050.

Contact Information

	Miranda Reshae Bostic, PMHNP-BC
	5441 S Macadam Ave Ste A, Portland, OR 97239-3822
	(541) 248-1204
	Not Available

Map and Direction

Provider's Profile

Full Name	Miranda Reshae Bostic
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	5441 S Macadam Ave Ste A, Portland, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1346668050
Provider Enumeration Date: 03/31/2014
Last Update Date: 09/18/2025

Medicare PECOS Information:

PECOS PAC ID: 3870012099
Enrollment ID: I20250521001591

Medical Identifiers

Medical identifiers for Miranda Reshae Bostic such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1346668050	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	26208 (Tennessee)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	10042383 (Oregon)	Primary
363L00000X	Nurse Practitioner	26208 (Tennessee)	Secondary

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 Reshae Bostic allows following entities to bill medicare on her behalf.

Entity Name	Cherokee Health Systems
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134128820 PECOS PAC ID: 3577474295 Enrollment ID: O20031119000769

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 Reshae Bostic 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 Address	Practice Location Address
Miranda Reshae Bostic, PMHNP-BC 5441 S Macadam Ave Ste A, Portland, OR 97239-3822 Ph: (541) 248-1204	Miranda Reshae Bostic, PMHNP-BC 5441 S Macadam Ave Ste A, Portland, OR 97239-3822 Ph: (541) 248-1204

Reviews and Comments

Nurse Practitioner Nurses in Portland, OR

Mrs. Anjalee Nix Rowe, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-3988
Ms. Susan Irene Smith, RN, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5100 Sw Macadam Ave, Suite 200, Portland, OR 97239 Phone: 971-202-5500 Fax: 971-202-5555
Iva Juric, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3181 Sw Sam Jackson Park Rd # Cdw6, Portland, OR 97239 Phone: 503-494-4808
Ms. Jessica A Dudley, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3550 N Interstate Ave, Portland, OR 97227 Phone: 503-746-1575
Summer Morgan Massina, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 721 Nw 9th Ave Ste 100, Portland, OR 97209 Phone: 503-525-0090
Dr. Jeffery Wise, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1220 Sw Morrison St Ste 730, Portland, OR 97205 Phone: 971-354-9242
A'lissa Richards, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12121 E Burnside St, Portland, OR 97216 Phone: 971-361-7700

Miranda Reshae Bostic, PMHNP-BC - Medicare Nurse Practitioner in Portland, OR