✓ Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant (363A00000X) ✓ HHS OIG Screened Clear ✓ Medicare PECOS Enrolled 🩺 Entity Type 1 (Individual)

MIRANDA C JOHNSTON, P.A. (NPI #1003857830)

Physician Assistant • INDEPENDENCE, LA • Status: Active Federal Registration

⚙️ JSON API
CMS-1500 Box 24J / 33a • NPI
1003857830
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
363A00000X (CMS 97)
Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant
Box 32 Service Location & ZIP+4
281 W 4TH ST, INDEPENDENCE, LA, 70443-2386
✓ 9-Digit EDI 837 ZIP+4 (70443-2386)
Practice Phone & Referral Fax
Fax: (985) 878-0626
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1003857830 (MIRANDA C JOHNSTON, P.A.) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Medicare Part B
✓ Eligible
DMEPOS Ordering
✓ Eligible
Home Health (HHA)
✓ Eligible
Power Mobility
✓ Eligible
Hospice Referring
No

Empirical CMS Medicare Claims, CPT Utilization & Part D Prescribing (NPI #1003857830)

Actual Top Prescribed Medications (CMS Part D)

Brand / Generic MedicationTotal ClaimsPatients
Cyclobenzaprine Hcl
Cyclobenzaprine Hcl
12<11
Gabapentin
Gabapentin
12<11

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number1003857830 (NPI-1 Individual Practitioner)
Provider / Legal NameMIRANDA C JOHNSTON, P.A.
Plain-English SpecialtyLicensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant
NUCC Code: 363A00000X (Physician Assistant)
Certifying / Licensing BodyState Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address281 W 4TH ST, INDEPENDENCE, LA, 70443-2386
Practice Telephone / FaxTel: (985) 878-0066 | Fax: (985) 878-0626
Administrative Mailing Address2057 WHITE MYRTLE DR, MADISONVILLE, LA, 70447-9480
Enumeration & Last SyncEnumerated: 2006-06-10 | CMS Record Updated: 2013-01-30

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

281 W 4TH ST, INDEPENDENCE, LA, 70443-2386

🗺️ Open in Google Maps 🏥 More Providers in INDEPENDENCE

Plain-English Taxonomy & CMS Crosswalk (363A00000X)

What Does Taxonomy Code 363A00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 363A00000X translates to:
"Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 97 (Physician Assistant)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Physician Assistant for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (MIRANDA C JOHNSTON, P.A.)

Typical CPT / Diagnostic Procedures:
  • Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
  • Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
  • Preventive Screening, Patient Counseling & Multidisciplinary Referral
Common Therapeutic Classes:
  • Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English DescriptionState License & Primary Status
363A00000X — Physician Assistant
Plain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant
State: LA | License: PA.A10528.RX | Primary: Yes (Primary)
Medical Billing, RCM & Hospital Credentialing Teams:
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