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

Miranda Tedder

Individual provider Family Nurse Practitioner · NPI 1023650868

Miranda Tedder is a Nurse Practitioner in Kokomo, Indiana. Qualified in 2019, 7 years ago. Practices with Pic Indiana PC, a 148-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
7
Licensed in
IN
In the registry since
2019
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Practice location Address checks out

3611 S Reed Rd Ste 214
Kokomo, IN 46902-3828
Phone: (765) 776-8700
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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 71009470A (IN)

Record details

NPI number1023650868
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 14, 2019
Last updated in NPPESNovember 27, 2023
Certification dateSeptember 16, 2020
Mailing address6626 E 75th St Ste 500, Indianapolis, IN 46250-2890

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 Pic Indiana Pc — 148 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

Other providers in Kokomo