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

Miranda Moore, PA-C

Individual provider Physician Assistant · NPI 1912307778

Miranda Moore, PA-C is a Physician Assistant in Richmond, Indiana. Qualified in 2014, 12 years ago. Practices with Reid Physician Associates Inc, a 423-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Indiana.

Years since qualifying
12
Licensed in
IN
In the registry since
2014
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1050 Reid Pkwy Ste 100
Richmond, IN 47374-1156
Phone: (765) 935-8454
Fax: (765) 935-8453
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 1000372A (IN)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1912307778
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 29, 2014
Last updated in NPPESMay 17, 2021
Certification dateMay 17, 2021
Mailing address1100 Reid Parkway, Medical Staff Service, Richmond, IN 47374-1157

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Reid Physician Associates Inc — 423 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

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