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Miracle Israel

NPI 1326672676ActiveIndividual· Nurse Practitioner· Lynnwood, WA

Nurse Practitioner in Lynnwood, Washington, trained at University of Washington School of Medicine (class of 2020). Their prescriptions cost Medicare Part D more than their services did: $156,052 for 2,575 claims, against $40,626 paid for services in 2024.

Overview

NPI1326672676
StatusActive
Entity typeIndividual
Sole proprietorNo
NPI issuedFeb 25, 2020
Last updated in NPPESMar 30, 2021
Certified by providerMar 30, 2021

Specialties and licenses

TaxonomyCodeLicenseState
Nurse Practitioner Primary363L00000XAP61081985WA
Registered Nurse163W00000XRN60490415WA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Nurse Practitioner (WA)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients285
Services billed837 across 40 procedure codes
Paid by Medicare$40,626

Part D prescriptions in 2024

Prescriptions (claims)2,575 · 5,924 30-day fills
Patients476
Total drug cost$156,052
Generic share91% of claims

Medicare sources and data years

Education and affiliations

Medical schoolUniversity of Washington School of Medicine
Graduation year2020
Medicare specialtyNurse Practitioner
TelehealthOffers telehealth

Medical group

Hospital affiliation

Source: CMS Care Compare

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

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