LOURDES MESTRE VALDES APRN
NPI 1013559319
Nurse Practitioner - Gerontology in Miami, FL

Q: What is Lourdes Valdes's NPI number?

The NPI number for Lourdes Valdes is 1013559319. It was assigned to this individual provider in the NPPES registry on October 9, 2019.

Q: What is Lourdes Valdes's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Q: When was this NPI record last updated?

The NPPES record for Lourdes Valdes was last updated on December 3, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since October 09, 2019PECOS EnrolledAccepts Medicare Assignment

81.31/100

CMS Quality Rating

1475 NW 12TH AVE, MIAMI, FL 33136(305) 243-4902(305) 243-4907 Get Directions Write a Review

NPPES record last updated: December 3, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 3, 2019, Oct 9, 2019 (2 updates tracked since 2019).

On this page

About Lourdes Mestre Valdes Aprn NPPES

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

LOURDES MESTRE VALDES APRN (NPI 1013559319) is an individual gerontology provider in Miami, Florida, licensed in Florida (ME11004413) and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1013559319

Entity TypeIndividualFemale

Primary Taxonomy363LG0600X

Provider Legal NameLOURDES MESTRE VALDESCredential: APRN

Location Address1475 NW 12TH AVEMiami, FL 33136-1002

Mailing Address5005 Collins Ave Apt 216Miami Beach, FL 33140-2735 · (786) 282-2244

Phone(305) 243-4902

Fax(305) 243-4907

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateOctober 9, 2019

Last NPPES UpdateDecember 3, 20192 updates tracked since enumeration

✔ NPI 1013559319 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LG0600X

License✔ Licensed in FL · ME11004413

Also ListedNurse PractitionerTaxonomy 363L00000X · License 11004413 (FL)

1475 NW 12TH AVE, Miami, FL 33136

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, AmeriHealth Caritas Next and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Lourdes Mestre Valdes Aprn 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 ID2769816727

PECOS Enrollment IDI20191227001191

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.

Medicare Billing Reassignment

Medicare enrollment records show Lourdes Valdes reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Of Miami

Same address

Radiation Oncology

1475 NW 12TH AVE, BOX 016960 M851
Miami, FL 33136

Reassigned Medicare billing, Florida enrollment
3,639 clinicians in this Medicare group

NPI 1689624108 (305) 243-7688

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

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.

58 services43 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.

54 services48 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33136 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

$96.13 typical visit price

range $60.92 – $187.05

Typical copayment $24.03 (range $15.23 – $46.76)

Most-billed visit code 99203

Established Patient

$107.17 typical visit price

range $18.99 – $150.24

Typical copayment $26.79 (range $4.74 – $37.56)

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.

81.31/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

78.45

Promoting Interoperability

100

Improvement Activities

Cost

50.59

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.

MS. ALISSETTE NAVEDA ARNP

Nurse Practitioner (Family)

1475 NW 12TH AVE
MIAMI, FL 33136

Miami-Dade County (305) 243-5360

WALTER G BRADLEY

Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)

1475 NW 12TH AVE, BOX 016960 M851
MIAMI, FL 33136

Miami-Dade County (305) 243-7520

DR. EVAN H SCHLAM MD

Dermatology

1475 NW 12TH AVE, BOX 016960
MIAMI, FL 33136

Miami-Dade County (305) 243-7688

DR. NESTOR RICARDO VILLAMIZAR M.D.

Thoracic Surgery (Cardiothoracic Vascular Surgery)

1475 NW 12TH AVE
MIAMI, FL 33136

Miami-Dade County (305) 243-2363

MS. LINDSAY MARIE THORNTON MD

Radiology (Vascular & Interventional Radiology)

1475 NW 12TH AVE
MIAMI, FL 33136

Miami-Dade County (305) 243-5512

DR. GLENDA C HARRIS PH.D., L.AC.

Acupuncturist

1475 NW 12TH AVE
MIAMI, FL 33136

Miami-Dade County (305) 243-1470

IVAYLO MIHAYLOV

Radiology (Radiation Oncology)

1475 NW 12TH AVE, SUITE 1500
MIAMI, FL 33136

Miami-Dade County (305) 243-8223

DR. PAOLO ROMANELLI MD

Dermatology

1475 NW 12TH AVE
MIAMI, FL 33136

Miami-Dade County (305) 243-8693

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 Lourdes Valdes's NPI number?

The NPI number for Lourdes Valdes is 1013559319. It was assigned to this individual provider in the NPPES registry on October 9, 2019.

Where is Lourdes Valdes located?

Lourdes Valdes practices at 1475 NW 12th Ave, Miami, FL 33136. The listed phone number is (305) 243-4902.

What is Lourdes Valdes's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Lourdes Valdes enrolled in Medicare?

Yes. Lourdes Valdes 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.

Which organization bills Medicare for Lourdes Valdes's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lourdes Valdes reassigns Medicare benefits to University Of Miami (Miami, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lourdes Valdes's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lourdes Valdes accept?

Health plans from Ambetter Health, Ambetter of Alabama, AmeriHealth Caritas Next, Oscar Health Maintenance Organization of Florida and UnitedHealthcare list Lourdes Valdes as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lourdes Valdes was last updated on December 3, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.