Miranda Luann Williams, PA
NPI 1427764869ActiveIndividual· Physician Assistant· Fort Carson, CO
Physician Assistant (PA) with Divine Health Group LLC, practicing in Fort Carson, Colorado. Enrolled in Medicare as practitioner - physician assistant.
Overview
| NPI | 1427764869 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA |
| Sole proprietor | No |
| NPI issued | Jan 30, 2023 |
| Last updated in NPPES | Jan 25, 2024 |
| Certified by provider | Jan 25, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (CO) |
|---|
Education and affiliations
| Graduation year | 2023 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Divine Health Group LLCLa Junta, CO · 2 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other physician assistants in Fort Carson
- 1225305105
- 1487927257
- 1245889484
- 1437807088
- 1073168571
- 1760534440
- 1851541528
- 1124564331
- 1760077382
- 1851664189
- 1588056931
- 1659428209
All 73 physician assistants in Fort Carson · All physician assistants in Colorado