MICHALLE RAMIREZ-MCLAUGHLIN RN, FNP-C
NPI 1003195603
Nurse Practitioner - Family in San Francisco, CA

Active since August 12, 2011PECOS EnrolledAccepts Medicare Assignment
74.46/100
CMS Quality Rating
1545 DIVISADERO ST, SAN FRANCISCO, CA 94143(415) 353-7900 Get Directions Write a Review

NPPES record last updated: September 15, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 15, 2022, Mar 17, 2018, Sep 18, 2017 and 1 more (4 updates tracked since 2017).

About Michalle Ramirez-mclaughlin Rn, Fnp-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHALLE RAMIREZ-MCLAUGHLIN RN, FNP-C (NPI 1003195603) is an individual family provider in San Francisco, California, licensed in California (21040) and active in the NPI registry since August 2011. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1003195603
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMICHALLE RAMIREZ-MCLAUGHLINCredential: RN, FNP-C
Location Address1545 DIVISADERO STSan Francisco, CA 94143-3400
Mailing Address1545 Divisadero StSan Francisco, CA 94143-3400
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateAugust 12, 2011
Last NPPES UpdateSeptember 15, 20224 updates tracked since enumeration
NPPES CertifiedSeptember 15, 2022
NPI 1003195603 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in CA · 21040
Also ListedRegistered NurseTaxonomy 163W00000X · License 758542 (CA)
1545 DIVISADERO ST, San Francisco, CA 94143

Secondary Practice Locations 3

Location 1400 Parnassus AveSan Francisco, CA 94143-2202 · Phone (415) 476-1000
Location 250 Frida Kahlo WaySan Francisco, CA 94112-1821 · Phone (415) 239-3110
Location 36090 Redwood BlvdNovato, CA 94945-4569 · Phone (415) 448-1500

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Michalle Ramirez-mclaughlin Rn, Fnp-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1153633193
PECOS Enrollment IDI20170928003966
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
94 services88 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
89 services85 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
79 services73 patients
Online digital evaluation and management service for an established patient for up to 7 days, total time 5-10 minutes 99421
This service involves a week-long digital assessment of your health status. It's conducted online by your healthcare provider, focusing on managing your existing health condition. The process takes 5-10 minutes of your time daily, ensuring optimal health management.
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94143 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

74.46/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability76
Improvement Activities40
Cost46.68

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers14 claims29 services$6.24 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
1545 DIVISADERO ST, SUITE 322
SAN FRANCISCO, CA 94143
Internal Medicine (Medical Oncology)
1545 DIVISADERO ST
SAN FRANCISCO, CA 94143
Internal Medicine
1545 DIVISADERO ST
SAN FRANCISCO, CA 94143
Internal Medicine
1545 DIVISADERO ST
SAN FRANCISCO, CA 94143
Physical Medicine & Rehabilitation
1545 DIVISADERO ST
SAN FRANCISCO, CA 94143
Internal Medicine
1545 DIVISADERO ST
SAN FRANCISCO, CA 94143
Internal Medicine
1545 DIVISADERO ST
SAN FRANCISCO, CA 94143
Internal Medicine
1545 DIVISADERO ST
SAN FRANCISCO, CA 94143

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michalle Ramirez-mclaughlin's NPI number?

The NPI number for Michalle Ramirez-mclaughlin is 1003195603. It was assigned to this individual provider in the NPPES registry on August 12, 2011.

Where is Michalle Ramirez-mclaughlin located?

Michalle Ramirez-mclaughlin practices at 1545 Divisadero St, San Francisco, CA 94143. The listed phone number is (415) 353-7900.

What is Michalle Ramirez-mclaughlin's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Michalle Ramirez-mclaughlin enrolled in Medicare?

Yes. Michalle Ramirez-mclaughlin is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Michalle Ramirez-mclaughlin was last updated on September 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.