MR. MARIO DANIEL RAMIREZ MSN, APRN, FNP-C
NPI 1245734797
Nurse Practitioner - Family in Edinburg, TX

Q: What is Mario Ramirez's NPI number?

The NPI number for Mario Ramirez is 1245734797. It was assigned to this individual provider in the NPPES registry on March 20, 2018.

Q: What is Mario Ramirez'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 Mario Ramirez was last updated on October 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 March 20, 2018PECOS EnrolledAccepts Medicare Assignment

293 E TRENTON RD STE 20, EDINBURG, TX 78539(569) 348-0140 Get Directions Write a Review

NPPES record last updated: October 15, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Oct 15, 2021, Feb 18, 2020, Feb 4, 2020 and 2 more (5 updates tracked since 2018).

On this page

About Mr. Mario Daniel Ramirez Msn, Aprn, Fnp-c NPPES

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

MR. MARIO DANIEL RAMIREZ MSN, APRN, FNP-C (NPI 1245734797) is an individual family provider in Edinburg, Texas, licensed in Texas (AP136941) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS, maintains a secondary practice location in Laredo, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1245734797

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameMR. MARIO DANIEL RAMIREZCredential: MSN, APRN, FNP-C

Location Address293 E TRENTON RD STE 20Edinburg, TX 78539-9762

Mailing Address293 E Trenton Rd Ste 20Edinburg, TX 78539-9762 · (569) 348-0140

Phone(569) 348-0140

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateMarch 20, 2018

Last NPPES UpdateOctober 15, 20215 updates tracked since enumeration

NPPES CertifiedAugust 12, 2021

✔ NPI 1245734797 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 TX · AP136941

293 E TRENTON RD STE 20, Edinburg, TX 78539

Open in Google Maps ↗

Secondary Practice Location 1

Location 17215 McPherson RdLaredo, TX 78041-6554 · Phone (956) 608-4500

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections 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

Mr. Mario Daniel Ramirez Msn, Aprn, Fnp-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 ID8224463310

PECOS Enrollment IDI20200117002055

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 3

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.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

16 services16 patients

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.

16 services12 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.

13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78539 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

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

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.

Other Providers at the Same Location NPPES

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

HEATHER DAVIS-LOPEZ PA-C

Physician Assistant

293 E TRENTON RD STE 20
EDINBURG, TX 78539

Hidalgo County (956) 348-0140

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 Mario Ramirez's NPI number?

The NPI number for Mario Ramirez is 1245734797. It was assigned to this individual provider in the NPPES registry on March 20, 2018.

Where is Mario Ramirez located?

Mario Ramirez practices at 293 E Trenton Rd Ste 20, Edinburg, TX 78539. The listed phone number is (569) 348-0140.

What is Mario Ramirez's specialty?

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

Is Mario Ramirez enrolled in Medicare?

Yes. Mario 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 Mario Ramirez accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 4 other insurers list Mario 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 Mario Ramirez was last updated on October 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.