Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Miranda Tadevich

Individual provider Nurse Practitioner · NPI 1669107512

Miranda Tadevich is a Nurse Practitioner in Tracy, California. Licensed in California and Colorado. Registered with an NPI since 2022.

Licensed in
CA, CO
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

445 W Eaton Ave
Tracy, CA 95376-3420
Phone: (209) 830-4075
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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 NP95029206 (CA)
Nurse Practitioner Taxonomy 363L00000X · Licence APN.0997765 (CO)

Record details

NPI number1669107512
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 22, 2022
Last updated in NPPESMay 20, 2024
Certification dateMay 20, 2024

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients18
Services billed 33 a service is one billed item, such as a visit, a test or a procedure
Average patient age76

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

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