| Miranda R Proell, CNP | |
|
130 1st St Ne, Richmond, MN 56368-8183 | |
| (320) 597-2122 | |
| Not Available |
| Full Name | Miranda R Proell |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 3 Years |
| Location | 130 1st St Ne, Richmond, Minnesota |
| 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 |
|---|---|---|---|
| 1154160422 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 11585 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Centracare - Paynesville Hospital | Paynesville, MN | Hospital |
| Centracare - Melrose Hospital | Melrose, MN | Hospital |
| Centracare - St. Cloud Hospital | Saint cloud, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Centracare Health-paynesville Llc | 1153555719 | 61 |
| Centracare Health System - Melrose | 1658270368 | 38 |
| Entity Name | Centracare Health System - Melrose |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720045073 PECOS PAC ID: 1658270368 Enrollment ID: O20031231000690 |
| Entity Name | Centracare Health System - Melrose |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1720045073 PECOS PAC ID: 1658270368 Enrollment ID: O20060504000839 |
| Entity Name | Centracare Health-paynesville LLC |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1205269941 PECOS PAC ID: 1153555719 Enrollment ID: O20131108000012 |
| Entity Name | Centracare Health-paynesville LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629402516 PECOS PAC ID: 1153555719 Enrollment ID: O20140909002390 |
| Mailing Address | Practice Location Address |
|---|---|
| Miranda R Proell, CNP 804 3rd Ave Se, Cold Spring, MN 56320-1457 Ph: (701) 630-2493 | Miranda R Proell, CNP 130 1st St Ne, Richmond, MN 56368-8183 Ph: (320) 597-2122 |
Ryan Mareck, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 130 1st St Ne, Richmond, MN 56368 Phone: 320-597-2122 |