DR. NILSA RAQUEL SANCHEZ M.D.
NPI 1174500169
Family Medicine - Geriatric Medicine in St Petersburg, FL

Q: What is Nilsa Sanchez's NPI number?

The NPI number for Nilsa Sanchez is 1174500169. It was assigned to this individual provider in the NPPES registry on December 29, 2005.

Q: What is Nilsa Sanchez's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Geriatric Medicine, with taxonomy code 207QG0300X.

Q: When was this NPI record last updated?

The NPPES record for Nilsa Sanchez was last updated on August 20, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since December 29, 2005PECOS EnrolledAccepts Medicare Assignment

6703 38TH AVE N, ST PETERSBURG, FL 33710(727) 213-5377(727) 828-9639 Get Directions Write a Review

NPPES record last updated: August 20, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 20, 2019, Feb 22, 2018 (2 updates tracked since 2018).

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About Dr. Nilsa Raquel Sanchez M.d. NPPES

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

DR. NILSA RAQUEL SANCHEZ M.D. (NPI 1174500169) is an individual geriatric medicine provider in St Petersburg, Florida, licensed in Florida (ME129197) and active in the NPI registry since December 2005. She is enrolled in Medicare PECOS, maintains a secondary practice location in San Juan, and is a graduate of University Of Puerto Rico School Of Medicine (2001).

NPPES Registry Identity

NPI1174500169

Entity TypeIndividualFemale

Primary Taxonomy207QG0300X

Provider Legal NameDR. NILSA RAQUEL SANCHEZCredential: M.D.

Location Address6703 38TH AVE NSt Petersburg, FL 33710-1536

Mailing Address6675 Westwood Blvd, Ste 475Orlando, FL 32821-6027 · (407) 845-0330 · Fax (888) 972-1752

Phone(727) 213-5377

Fax(727) 828-9639

Sole ProprietorNo

Medical School CMSUniversity Of Puerto Rico School Of MedicineGraduated 2001

Enumeration DateDecember 29, 2005

Last NPPES UpdateAugust 20, 20192 updates tracked since enumeration

✔ NPI 1174500169 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QG0300X

License✔ Licensed in FL · ME129197

Definition

A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.

Also ListedSpecialistTaxonomy 174400000X · License 13442 (PR)

6703 38TH AVE N, St Petersburg, FL 33710

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Secondary Practice Location 1

Location 11028 Ave RooseveltSan Juan, PR 00920-2904 · Phone (787) 781-8316

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and more.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

Dr. Nilsa Raquel Sanchez M.d. 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 ID1153222062

PECOS Enrollment IDI20180425001694

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 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.

66 services26 patients

Annual alcohol misuse screening, 5 to 15 minutes G0442

An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.

25 services25 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

13 services13 patients

Annual depression screening, 5 to 15 minutes G0444

An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.

13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33710 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

4 suppliers15 claims35 services$6.59 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

2 suppliers12 claims12 services$25.95 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 9

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

MR. BRYAN J HUGHES PT

Specialist