| Miranda Micucci, MSN, APRN, FNP-BC | |
|
535 Westfield Rd Ste 200, Charlottesville, VA 22901-1870 | |
| (434) 973-4040 | |
| Not Available |
| Full Name | Miranda Micucci |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 3 Years |
| Location | 535 Westfield Rd Ste 200, Charlottesville, Virginia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437882537 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 0001269663 (Virginia) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 0024184617 (Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Sentara Martha Jefferson Hospital | Charlottesville, VA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Privia Medical Group, Llc | 4385682061 | 1264 |
| Select Physical Therapy Holdings Inc | 9537076401 | 1463 |
| Entity Name | Privia Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013042480 PECOS PAC ID: 4385682061 Enrollment ID: O20140603000011 |
| Mailing Address | Practice Location Address |
|---|---|
| Miranda Micucci, MSN, APRN, FNP-BC 535 Westfield Rd Ste 200, Charlottesville, VA 22901-1870 Ph: () - | Miranda Micucci, MSN, APRN, FNP-BC 535 Westfield Rd Ste 200, Charlottesville, VA 22901-1870 Ph: (434) 973-4040 |
Norma Branham, R.N., N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1215 Lee St, Charlottesville, VA 22908 Phone: 434-924-2047 | |
Joy R Miller, PNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1215 Lee St, Charlottesville, VA 22908 Phone: 434-243-2617 | |
Rebecca L Hand, ACNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1215 Lee St, Charlottesville, VA 22908 Phone: 434-982-1100 | |
Megan E. Kingdon, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1215 Lee St, Charlottesville, VA 22908 Phone: 434-924-9400 Fax: 434-982-1618 | |
Mrs. Stephanie Richardson Wilhelm, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 500 Martha Jefferson Dr, Charlottesville, VA 22911 Phone: 434-654-7150 | |
Kimberly Conrad, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1240 Lee St, Charlottesville, VA 22908 Phone: 434-924-9333 Fax: 434-244-7526 | |
Shawn Pennetti, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3025 Berkmar Dr, Charlottesville, VA 22901 Phone: 434-973-1831 |