MAILENYS ORTEGA NP
NPI 1154996056
Nurse Practitioner - Family in Miami, FL

Q: What is Mailenys Ortega's NPI number?

The NPI number for Mailenys Ortega is 1154996056. It was assigned to this individual provider in the NPPES registry on May 24, 2021.

Q: What is Mailenys Ortega's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mailenys Ortega was last updated on August 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 May 24, 2021PECOS Enrolled

81.31/100

CMS Quality Rating

1400 NW 12TH AVE, MIAMI, FL 33136(305) 243-8644 Get Directions Write a Review

NPPES record last updated: August 12, 2021. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Aug 12, 2021, May 24, 2021 (2 updates tracked since 2021).

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About Mailenys Ortega Np NPPES

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

MAILENYS ORTEGA NP (NPI 1154996056) is an individual family provider in Miami, Florida, licensed in Florida (11013253) and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154996056

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMAILENYS ORTEGACredential: NP

Location Address1400 NW 12TH AVEMiami, FL 33136-1003

Mailing Address1120 Nw 14th StMiami, FL 33136-2107 · (305) 243-8644

Phone(305) 243-8644

Sole ProprietorNo

Enumeration DateMay 24, 2021

Last NPPES UpdateAugust 12, 20212 updates tracked since enumeration

NPPES CertifiedAugust 12, 2021

✔ NPI 1154996056 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code363LF0000X

License✔ Licensed in FL · 11013253

1400 NW 12TH AVE, Miami, FL 33136

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mailenys Ortega Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 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.

92 services59 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

66 services49 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

Reported Quality Measures

Breast Cancer Screening

26%148 patients2/55-star benchmark: 93%

Cervical Cancer Screening

14%380 patients1/55-star benchmark: 98%

Chlamydia Screening for Women

29%21 patients

Colorectal Cancer Screening

80%340 patients4/55-star benchmark: 88%

Controlling High Blood Pressure

70%73 patients4/55-star benchmark: 91%

Diabetes: Eye Exam

18%28 patients1/55-star benchmark: 100%

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)

Lower rates are better for this measure.

54%28 patients3/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

96%1,535 patients4/55-star benchmark: 100%

e-Prescribing

98%662 patients4/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

100%117 patients5/55-star benchmark: 100%

HIV Screening

36%841 patients3/55-star benchmark: 60%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

43%352 patients2/55-star benchmark: 98%

Preventive Care and Screening: Screening for Depression and Follow-Up Plan

90%778 patients4/55-star benchmark: 97%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

46%471 patients4/55-star benchmark: 61%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients screened: 99% · 398 patients

97%398 patients

Provide Patients Electronic Access to Their Health Information

100%375 patients5/55-star benchmark: 100%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 3% · 127 patients

Patients totalRate: 20% · 127 patients

20%127 patients2/55-star benchmark: 100%

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 20

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

KEREN SHAHAR M.D.

Internal Medicine