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SOFIA MIRANDA-PASQUALINI
NPI 1235799727
Nurse Practitioner - Family in Boca Raton, FL

Active since June 17, 2019PECOS Enrolled
76.22/100
CMS Quality Rating
875 MEADOWS RD STE 323, BOCA RATON, FL 33486(561) 788-7545 Get Directions Write a Review

NPPES record last updated: July 30, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 30, 2024, Jun 5, 2024, Jun 17, 2019 (3 updates tracked since 2019).

About Sofia Miranda-pasqualini NPPES

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

SOFIA MIRANDA-PASQUALINI (NPI 1235799727) is an individual family provider in Boca Raton, Florida, licensed in Florida (11002797) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1235799727
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSOFIA MIRANDA-PASQUALINI
Location Address875 MEADOWS RD STE 323Boca Raton, FL 33486-2349
Mailing Address5394 Grand Park PlBoca Raton, FL 33486-1451 · (561) 213-9301
Phone(561) 788-7545
Sole ProprietorNo
Enumeration DateJune 17, 2019
Last NPPES UpdateJuly 30, 20243 updates tracked since enumeration
NPPES CertifiedJuly 30, 2024
✔ NPI 1235799727 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 · 11002797
875 MEADOWS RD STE 323, Boca Raton, FL 33486
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Cigna Healthcare, Cigna HealthCare of Florida, Inc. and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sofia Miranda-pasqualini 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Sofia Miranda-pasqualini reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Gastroenterology Consultants Of Boca Raton
0.2 mi
Gastroenterology
951 NW 13TH ST STE 2E
Boca Raton, FL 33486
  • Reassigned Medicare billing, Florida enrollment
  • 11 clinicians in this Medicare group
NPI 1720628662 (561) 455-3145
Smp Health, LLC
3.9 mi
Psychiatric/Mental Health
3275 W HILLSBORO BLVD STE 304
Deerfield Beach, FL 33442
  • Reassigned Medicare billing, Florida enrollment
NPI 1316874704 (754) 210-9208

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 7

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.
466 services337 patients
Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
139 services17 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.
27 services24 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.
18 services18 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.
17 services17 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33486 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
$91.69 typical visit price
range $58.56 – $179.05
Typical copayment $22.92 (range $14.64 – $44.76)
Most-billed visit code 99203
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
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.

76.22/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality62.74
Promoting Interoperability96
Improvement Activities40
Cost54.18

Other Providers at the Same Location NPPES

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

ANGEL S. BAYAS MD
General Practice
875 MEADOWS RD STE 323
BOCA RATON, FL 33486
Palm Beach County (561) 788-7545

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 Sofia Miranda-pasqualini's NPI number?

The NPI number for Sofia Miranda-pasqualini is 1235799727. It was assigned to this individual provider in the NPPES registry on June 17, 2019.

Where is Sofia Miranda-pasqualini located?

Sofia Miranda-pasqualini practices at 875 Meadows Rd Ste 323, Boca Raton, FL 33486. The listed phone number is (561) 788-7545.

What is Sofia Miranda-pasqualini's specialty?

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

Is Sofia Miranda-pasqualini enrolled in Medicare?

Yes. Sofia Miranda-pasqualini is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Sofia Miranda-pasqualini's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sofia Miranda-pasqualini reassigns Medicare benefits to 2 organizations: Gastroenterology Consultants Of Boca Raton (Boca Raton, FL) and Smp Health, LLC (Deerfield Beach, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sofia Miranda-pasqualini's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sofia Miranda-pasqualini accept?

Health plans from AmeriHealth Caritas Next, Cigna HealthCare of Florida, Inc., Cigna Healthcare, Oscar Health Maintenance Organization of Florida and UnitedHealthcare list Sofia Miranda-pasqualini 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 Sofia Miranda-pasqualini was last updated on July 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.