PRISCILLA MARIE PEREZ
NPI 1104411826
Nurse Practitioner in Coral Gables, FL

Active since March 04, 2021PECOS EnrolledAccepts Medicare Assignment
81.31/100
CMS Quality Rating
5555 PONCE DE LEON BLVD, CORAL GABLES, FL 33146(305) 689-5555(305) 243-4363 Get Directions Write a Review

NPPES record last updated: July 18, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 18, 2023, May 22, 2023, Jun 7, 2021 and 1 more (4 updates tracked since 2021).

About Priscilla Marie Perez NPPES

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

PRISCILLA MARIE PEREZ (NPI 1104411826) is an individual nurse practitioner in Coral Gables, Florida, licensed in Florida (APRN11004893) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1104411826
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NamePRISCILLA MARIE PEREZ
Location Address5555 PONCE DE LEON BLVDCoral Gables, FL 33146-2513
Mailing Address5555 Ponce De Leon BlvdCoral Gables, FL 33146-2513 · (305) 689-5555 · Fax (305) 243-4363
Fax(305) 243-4363
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateMarch 4, 2021
Last NPPES UpdateJuly 18, 20234 updates tracked since enumeration
NPPES CertifiedJuly 18, 2023
NPI 1104411826 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in FL · APRN11004893
Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

5555 PONCE DE LEON BLVD, Coral Gables, FL 33146

Accepted Insurance

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

Priscilla Marie Perez 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 ID6305246547
PECOS Enrollment IDI20211117001333
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 2

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 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.
113 services87 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.
42 services37 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33146 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
Quality78.45
Promoting Interoperability100
Improvement Activities40
Cost50.59

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.

Physician Assistant (Surgical)
5555 PONCE DE LEON BLVD
CORAL GABLES, FL 33146
Radiology (Diagnostic Radiology)
5555 PONCE DE LEON BLVD
CORAL GABLES, FL 33146
Internal Medicine (Cardiovascular Disease)
5555 PONCE DE LEON BLVD
CORAL GABLES, FL 33146
Internal Medicine (Interventional Cardiology)
5555 PONCE DE LEON BLVD
CORAL GABLES, FL 33146
Internal Medicine (Nephrology)
5555 PONCE DE LEON BLVD
CORAL GABLES, FL 33146
Dietitian, Registered
5555 PONCE DE LEON BLVD
CORAL GABLES, FL 33146
Specialist/Technologist (Athletic Trainer)
5555 PONCE DE LEON BLVD
CORAL GABLES, FL 33146
Specialist/Technologist (Athletic Trainer)
5555 PONCE DE LEON BLVD
CORAL GABLES, FL 33146

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 Priscilla Perez's NPI number?

The NPI number for Priscilla Perez is 1104411826. It was assigned to this individual provider in the NPPES registry on March 4, 2021.

Where is Priscilla Perez located?

Priscilla Perez practices at 5555 Ponce De Leon Blvd, Coral Gables, FL 33146. The listed phone number is (305) 689-5555.

What is Priscilla Perez's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Priscilla Perez enrolled in Medicare?

Yes. Priscilla Perez 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.

What insurance does Priscilla Perez accept?

Health plans from AmeriHealth Caritas Next, Molina Healthcare, Oscar Health Maintenance Organization of Florida and UnitedHealthcare list Priscilla Perez 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 Priscilla Perez was last updated on July 18, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.