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

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

Practice location Address checks out

3611 S Reed Rd Ste 214
Kokomo, IN 46902-3828
Phone: (765) 776-8700
Show map & directions

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

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