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

Miranda Marshall, FNP

Individual provider Family Nurse Practitioner · NPI 1245876242

Miranda Marshall, FNP is a Nurse Practitioner in Ketchikan, Alaska. Qualified in 2019, 7 years ago. Practices with Russell Degroote MD PC, a 4-clinician group and accepts Medicare assignment. Licensed in Alaska.

Years since qualifying
7
Licensed in
AK
In the registry since
2019
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

25 Jefferson Way Ste 101
Ketchikan, AK 99901-5953
Phone: (907) 247-9999
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 183598 (AK)

Record details

NPI number1245876242
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedNovember 25, 2019
Last updated in NPPESMarch 19, 2026
Certification dateMarch 19, 2026
Mailing addressPo Box 1099, Ward Cove, AK 99928-1099

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Russell Degroote Md Pc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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