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MRS. ANNETTE MALDONADO ARNP-C
NPI 1184967374
Nurse Practitioner - Family in Miami, FL

Active since April 05, 2013PECOS EnrolledAccepts Medicare Assignment
81.31/100
CMS Quality Rating
1150 NW 14TH ST, MIAMI, FL 33136(305) 243-9355(305) 243-8335 Get Directions Write a Review

NPPES record last updated: October 3, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mrs. Annette Maldonado Arnp-c NPPES

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

MRS. ANNETTE MALDONADO ARNP-C (NPI 1184967374) is an individual family provider in Miami, Florida, licensed in Florida (ARNP9239835) and active in the NPI registry since April 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1184967374
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. ANNETTE MALDONADOCredential: ARNP-C
Location Address1150 NW 14TH STMiami, FL 33136-2137
Mailing Address1150 Nw 14th StMiami, FL 33136-2137 · (305) 243-9355 · Fax (305) 243-8335
Phone(305) 243-9355
Fax(305) 243-8335
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateApril 5, 2013
Last NPPES UpdateOctober 3, 2013
✔ NPI 1184967374 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in FL · ARNP9239835
Also ListedClinical Nurse Specialist · Family HealthTaxonomy 364SF0001X · License ARNP9239835 (FL)
1150 NW 14TH ST, Miami, FL 33136
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Oscar Health Maintenance Organization of Florida, UnitedHealthcare.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

Mrs. Annette Maldonado Arnp-c 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 ID5991930380
PECOS Enrollment IDI20131018001380
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.
80 services53 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.
17 services17 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
Quality78.45
Promoting Interoperability100
Improvement Activities40
Cost50.59

Reported Quality Measures

Appropriate Treatment for Upper Respiratory Infection (URI)
77%22 patients4/55-star benchmark: 100%
Appropriate Use of DXA Scans in Women Under 65 Years Who Do Not Meet the Risk Factor Profile for Osteoporotic Fracture
Lower rates are better for this measure.
29%112 patients
Breast Cancer Screening
51%385 patients3/55-star benchmark: 93%
Cervical Cancer Screening
55%546 patients3/55-star benchmark: 98%
Colorectal Cancer Screening
53%773 patients3/55-star benchmark: 88%
Controlling High Blood Pressure
72%439 patients4/55-star benchmark: 91%
Diabetes: Eye Exam
41%181 patients2/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
16%181 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
88%2,054 patients4/55-star benchmark: 100%
e-Prescribing
98%602 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
98%271 patients4/55-star benchmark: 100%
HIV Screening
42%1,042 patients3/55-star benchmark: 60%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
45%1,179 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
55%992 patients3/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
45%1,166 patients3/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 96% · 778 patients
Patients screened: 100% · 778 patients
38%42 patients2/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
100%435 patients5/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 9% · 304 patients
Patients totalRate: 22% · 304 patients
19%304 patients3/55-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.

DR. KOTTIL W RAMMOHAN MD
Psychiatry & Neurology (Neurology)
1150 NW 14TH ST, SUITE 609
MIAMI, FL 33136
Miami-Dade County (305) 243-6732
DR. MELISSA RENNELLA ORTEGA M.D.
Psychiatry & Neurology (Neurology)
1150 NW 14TH ST, SUITE 609
MIAMI, FL 33136
Miami-Dade County (305) 243-6732
DANIEL ATALLAH
Oral & Maxillofacial Surgery
1150 NW 14TH ST, SUITE 407
MIAMI, FL 33136
Miami-Dade County (305) 243-6837
GISELA HENRIQUEZ MD
Radiology (Pediatric Radiology)
1150 NW 14TH ST, SUITE 407
MIAMI, FL 33136
Miami-Dade County (305) 243-6837
DEEPIKA KRISHNAPRASAD MD
Anesthesiology
1150 NW 14TH ST, SUITE 407
MIAMI, FL 33136
Miami-Dade County (305) 243-6837
ANITA T BLENKE PA-C
Physician Assistant
1150 NW 14TH ST, 6TH FLOOR
MIAMI, FL 33136
Miami-Dade County (305) 243-6732
DR. LETICIA TORNES M.D.
Psychiatry & Neurology (Neurology)
1150 NW 14TH ST, SUITE 609
MIAMI, FL 33136
Miami-Dade County (305) 243-6732
CHETAN D. RAJADHYAKSHA MD
Radiology (Diagnostic Radiology)
1150 NW 14TH ST, 602
MIAMI, FL 33136
Miami-Dade County (305) 243-7688

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 Annette Maldonado's NPI number?

The NPI number for Annette Maldonado is 1184967374. It was assigned to this individual provider in the NPPES registry on April 5, 2013.

Where is Annette Maldonado located?

Annette Maldonado practices at 1150 NW 14th St, Miami, FL 33136. The listed phone number is (305) 243-9355.

What is Annette Maldonado's specialty?

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

Is Annette Maldonado enrolled in Medicare?

Yes. Annette Maldonado 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 Annette Maldonado accept?

Health plans from AmeriHealth Caritas Next, Oscar Health Maintenance Organization of Florida and UnitedHealthcare list Annette Maldonado 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 Annette Maldonado was last updated on October 3, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.