Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Miranda E Prejean

Individual provider Physician Assistant · NPI 1043552607

Miranda E Prejean is a Physician Assistant in Longmont, Colorado. Qualified in 2012, 14 years ago. Practices with Colorado Permanente Medical Group PC, a 1,325-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Colorado.

Years since qualifying
14
Licensed in
CO
In the registry since
2013
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Practice location Address checks out

1950 Mountain View Ave
Longmont, CO 80501-3129
Phone: (303) 306-7783
Fax: (303) 306-7753
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2550 S Parker Rd, Aurora, CO 80014-1622 — (303) 338-4545

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA.0003573 (CO)

Record details

NPI number1043552607
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 21, 2013
Last updated in NPPESJanuary 6, 2023
Certification dateJanuary 6, 2023
Mailing address10350 E Dakota Ave, Denver, CO 80247-1314

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Colorado Permanente Medical Group Pc — 1325 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations10 on file with Medicare

Other providers in Longmont