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MS. SANDRA ROMO GNP-C, PMHNP-BC, APR
NPI 1104150861
Nurse Practitioner - Psychiatric/Mental Health in Delray Beach, FL

Active since September 29, 2009PECOS EnrolledAccepts Medicare Assignment
160 SE 6TH AVE STE A1, DELRAY BEACH, FL 33483(561) 634-8696 Get Directions Write a Review

NPPES record last updated: June 1, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 15, 2022, Jan 20, 2022, Sep 27, 2021 and 3 more (6 updates tracked since 2018).

About Ms. Sandra Romo Gnp-c, Pmhnp-bc, Apr NPPES

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

MS. SANDRA ROMO GNP-C, PMHNP-BC, APR (NPI 1104150861) is an individual psychiatric/mental health provider in Delray Beach, Florida, licensed in Florida (9220697) and active in the NPI registry since September 2009. She is enrolled in Medicare PECOS, maintains a secondary practice location in Boynton Beach, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1104150861
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMS. SANDRA ROMOCredential: GNP-C, PMHNP-BC, APR
Location Address160 SE 6TH AVE STE A1Delray Beach, FL 33483-5264
Mailing Address160 Se 6th Ave Ste A1Delray Beach, FL 33483-5264 · (561) 634-8696
Phone(561) 634-8696
Sole ProprietorYes
Medical School CMSOtherGraduated 2009
Enumeration DateSeptember 29, 2009
Last NPPES UpdateJune 1, 20226 updates tracked since enumeration
NPPES CertifiedJune 1, 2022
✔ NPI 1104150861 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in FL · 9220697
Also ListedNurse PractitionerTaxonomy 363L00000X · License APRN9220697 (FL)
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License APRN9220697 (FL)
160 SE 6TH AVE STE A1, Delray Beach, FL 33483
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Other Names 1

Former Name (1)Mrs. Sandra Llerena Arnp

Secondary Practice Location 1

Location 1718 Rider RdBoynton Beach, FL 33435-3241 · Phone (786) 402-2345

Other Identifiers 2

Medicaid109970300FL
Medicaid004460400FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Cigna HealthCare of Florida, Inc., Florida Blue (BlueCross BlueShield FL) 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

Ms. Sandra Romo Gnp-c, Pmhnp-bc, Apr 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 ID8921137944
PECOS Enrollment IDI20100528000501
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 Sandra Romo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Horizon Health System, LLC
Same address
Nurse Practitioner
160 SE 6TH AVE STE A1
Delray Beach, FL 33483
  • Reassigned Medicare billing, Florida enrollment
NPI 1336735786 (561) 634-8696

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 5

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.

Psychotherapy with evaluation and management visit, 1 hour 90838
Psychotherapy with evaluation and management is a one-hour session where a mental health professional assesses your psychological state and discusses treatment options. This process aims to understand your feelings, thoughts, and behaviors to improve your overall well-being.
277 services46 patients
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.
170 services44 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.
135 services34 patients
Psychotherapy with evaluation and management visit, 30 minutes 90833
Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
32 services26 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.
24 services24 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33483 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
$91.69 typical visit price
range $58.56 – $179.05
Typical copayment $22.92 (range $14.64 – $44.76)
Most-billed visit code 99203
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
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.

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
67%36 patients4/55-star benchmark: 85%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
96%1,519 patients4/55-star benchmark: 99%
Falls: Screening for Future Fall Risk
Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period
17%303 patients1/55-star benchmark: 99%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
70%125 patients3/55-star benchmark: 97%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
83%83 patients4/55-star benchmark: 90%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
59%123 patients3/55-star benchmark: 97%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
35%80 patients2/55-star benchmark: 96%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 96% · 26 patients
96%26 patients4/55-star benchmark: 98%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
100%125 patients5/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
5%125 patients1/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
29%125 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 4

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

JUNIPER HEALTH, PLLC
Clinic/Center (Primary Care)
160 SE 6TH AVE STE A1
DELRAY BEACH, FL 33483
Palm Beach County (561) 475-4388
HORIZON HEALTH SYSTEM, LLC
Nurse Practitioner
160 SE 6TH AVE STE A1
DELRAY BEACH, FL 33483
Palm Beach County (561) 634-8696
ANA FAVARETO NP
Nurse Practitioner (Family)
160 SE 6TH AVE STE A1
DELRAY BEACH, FL 33483
Palm Beach County (561) 475-4388
ALLEGRO HEARING AND BALANCE SOLUTIONS PEDS & SENIOR LLC
Audiologist (Assistive Technology Supplier)
160 SE 6TH AVE STE A1
DELRAY BEACH, FL 33483
Palm Beach County (561) 666-3442

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 Sandra Romo's NPI number?

The NPI number for Sandra Romo is 1104150861. It was assigned to this individual provider in the NPPES registry on September 29, 2009. The provider is also known as Mrs. Sandra Llerena Arnp.

Where is Sandra Romo located?

Sandra Romo practices at 160 SE 6th Ave Ste A1, Delray Beach, FL 33483. The listed phone number is (561) 634-8696.

What is Sandra Romo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Sandra Romo enrolled in Medicare?

Yes. Sandra Romo 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 Sandra Romo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sandra Romo reassigns Medicare benefits to Horizon Health System, LLC (Delray Beach, 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 Sandra Romo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sandra Romo accept?

Health plans from Cigna HealthCare of Florida, Inc., Cigna Healthcare, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Oscar Health Maintenance Organization of Florida and 1 other insurer list Sandra Romo 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 Sandra Romo was last updated on June 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.