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

Mrs. Miranda Luann Williams, PA

Individual provider Physician Assistant · NPI 1427764869

Mrs. Miranda Luann Williams, PA is a Physician Assistant in Fort Carson, Colorado. Qualified in 2023, 3 years ago. Practices with Divine Health Group LLC, a 2-clinician group and accepts Medicare assignment.

Years since qualifying
3
In the registry since
2023
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1650 Cochrane Cir Unit Meddac
Fort Carson, CO 80913-4604
Phone: (720) 325-4781
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1427764869
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJanuary 30, 2023
Last updated in NPPESJanuary 25, 2024
Certification dateJanuary 25, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Divine Health Group Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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