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ERIKA SENAI RAMIREZ FNP
NPI 1215433354
Nurse Practitioner - Family in New York, NY

Active since April 05, 2018PECOS EnrolledAccepts Medicare Assignment
92.28/100
CMS Quality Rating
287 PARK AVE S FL 5, NEW YORK, NY 10010(888) 553-2823 Get Directions Write a Review

NPPES record last updated: January 4, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Erika Senai Ramirez Fnp NPPES

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

ERIKA SENAI RAMIREZ FNP (NPI 1215433354) is an individual family provider in New York, New York, licensed in New York (350961) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS, maintains a secondary practice location in Austin, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1215433354
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameERIKA SENAI RAMIREZCredential: FNP
Location Address287 PARK AVE S FL 5New York, NY 10010-4573
Mailing Address4900 Mueller BlvdAustin, TX 78723-3079
Phone(888) 553-2823
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateApril 5, 2018
Last NPPES UpdateJanuary 4, 2023
NPPES CertifiedJanuary 4, 2023
✔ NPI 1215433354 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
Licenses✔ Licensed in NY · 350961✔ Licensed in TX · AP137031
287 PARK AVE S FL 5, New York, NY 10010
Open in Google Maps ↗

Secondary Practice Location 1

Location 16900 Ed Bluestein BlvdAustin, TX 78723 · Phone (512) 744-6000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Oscar Insurance Company, WellPoint.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

Erika Senai Ramirez Fnp 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 ID7416207428
PECOS Enrollment IDI20220725000990, I20221228000757
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 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.

Complex chronic care management services for two or more chronic conditions, each additional 60 minutes of clinical staff time directed by health care professional, per calendar month 99489
Complex chronic care management is a service for patients with multiple chronic conditions. It involves an additional 60 minutes per month of clinical staff time directed by a healthcare professional. This service assists in managing your health conditions effectively.
197 services42 patients
Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439
Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.
143 services52 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
113 services64 patients
Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month 99487
Complex chronic care management is a service for patients with two or more long-term health conditions. It involves a healthcare professional directing clinical staff in providing care for the first 60 minutes each month. This helps manage your health conditions effectively.
72 services42 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
24 services24 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10010 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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.

92.28/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality67.78
Improvement Activities40
Cost100

Reported Quality Measures

Advance Care Plan
87%258 patients4/55-star benchmark: 100%
Controlling High Blood Pressure
26%168 patients2/55-star benchmark: 98%
Dementia: Safety Concern Screening and Follow-Up for Patients with Dementia
0%77 patients
Falls: Plan of Care
100%20 patients
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
70%662 patients3/55-star benchmark: 97%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 823 patients
Patients totalRate: 0% · 823 patients
0%823 patients5/55-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 4

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

MRS. MEGHAN WELCH ARNP
Nurse Practitioner
287 PARK AVE S FL 5
NEW YORK, NY 10010
New York County (888) 553-2823
CORINA MARGARITA RELLA NP
Nurse Practitioner (Family)
287 PARK AVE S FL 5
NEW YORK, NY 10010
New York County (888) 553-2823
MS. LI LI FNP
Nurse Practitioner (Family)
287 PARK AVE S FL 5
NEW YORK, NY 10010
New York County (888) 553-2823
MISS SASHA L MOREDOCK APN
Nurse Practitioner (Family)
287 PARK AVE S FL 5
NEW YORK, NY 10010
New York County (888) 553-2823

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 Erika Ramirez's NPI number?

The NPI number for Erika Ramirez is 1215433354. It was assigned to this individual provider in the NPPES registry on April 5, 2018.

Where is Erika Ramirez located?

Erika Ramirez practices at 287 Park Ave S Fl 5, New York, NY 10010. The listed phone number is (888) 553-2823.

What is Erika Ramirez's specialty?

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

Is Erika Ramirez enrolled in Medicare?

Yes. Erika Ramirez 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 Erika Ramirez accept?

Health plans from Blue Cross and Blue Shield of Texas, Oscar Insurance Company and WellPoint list Erika Ramirez 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 Erika Ramirez was last updated on January 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.