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ROSSANA DEL CARMEN MENDEZ-CLAY ARNP
NPI 1396065330
Nurse Practitioner - Adult Health in Miami, FL

Active since June 01, 2010PECOS EnrolledAccepts Medicare Assignment
81.31/100
CMS Quality Rating
8932 SW 97TH AVE, MIAMI, FL 33176(305) 270-3400 Get Directions Write a Review

NPPES record last updated: August 14, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Rossana Del Carmen Mendez-clay Arnp NPPES

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

ROSSANA DEL CARMEN MENDEZ-CLAY ARNP (NPI 1396065330) is an individual adult health provider in Miami, Florida, licensed in Florida (APRN1750382) and active in the NPI registry since June 2010. She is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1396065330
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameROSSANA DEL CARMEN MENDEZ-CLAYCredential: ARNP
Location Address8932 SW 97TH AVEMiami, FL 33176-1936
Mailing Address8932 Sw 97th AveMiami, FL 33176-1936 · (305) 270-3400
Phone(305) 270-3400
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateJune 1, 2010
Last NPPES UpdateAugust 14, 2023
NPPES CertifiedAugust 14, 2023
✔ NPI 1396065330 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in FL · APRN1750382
8932 SW 97TH AVE, Miami, FL 33176
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

Rossana Del Carmen Mendez-clay Arnp 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 ID2860725793
PECOS Enrollment IDI20190610000470
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.

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.
97 services66 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.
79 services63 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
17 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33176 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

Adult Major Depressive Disorder (MDD): Suicide Risk Assessment
0%21 patients
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.
36%36 patients
Breast Cancer Screening
45%126 patients2/55-star benchmark: 93%
Cervical Cancer Screening
36%257 patients2/55-star benchmark: 98%
Colorectal Cancer Screening
52%228 patients3/55-star benchmark: 88%
Controlling High Blood Pressure
77%128 patients4/55-star benchmark: 91%
Diabetes: Eye Exam
30%43 patients2/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
12%43 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
100%685 patients5/55-star benchmark: 100%
e-Prescribing
99%575 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
98%63 patients4/55-star benchmark: 100%
HIV Screening
42%460 patients3/55-star benchmark: 60%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
64%462 patients3/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
74%397 patients4/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
50%452 patients4/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 99% · 248 patients
96%248 patients
Provide Patients Electronic Access to Their Health Information
100%418 patients5/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 16% · 67 patients
Patients totalRate: 18% · 67 patients
13%67 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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
5 suppliers11 claims11 services$26.16 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 20

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

LAWRENCE NEGRET M.D.
Internal Medicine (Hematology & Oncology)
8932 SW 97TH AVE
MIAMI, FL 33176
Miami-Dade County (305) 243-5302
RENAY NATLIE SMITH APRN
Nurse Practitioner (Family)
8932 SW 97TH AVE
MIAMI, FL 33176
Miami-Dade County (305) 243-5850
DR. SANDRA CHOKRON GARNEAU MD
Family Medicine
8932 SW 97TH AVE
MIAMI, FL 33176
Miami-Dade County (305) 243-4530
DR. ALEXANDRA CALANDRIELLO M.D.
Internal Medicine
8932 SW 97TH AVE, SUITE G
MIAMI, FL 33176
Miami-Dade County (305) 270-3485
MRS. JOHANNA MASEDA ARNP
Nurse Practitioner (Family)
8932 SW 97TH AVE
MIAMI, FL 33176
Miami-Dade County (305) 270-3400
AHMET TURAN ILICA MD
Radiology (Diagnostic Radiology)
8932 SW 97TH AVE
MIAMI, FL 33176
Miami-Dade County (917) 769-8140
JENNIFER GREEN
Family Medicine
8932 SW 97TH AVE
MIAMI, FL 33176
Miami-Dade County (305) 270-3400
JANA MERRILL WHEATMAN PA-C
Physician Assistant (Medical)
8932 SW 97TH AVE
MIAMI, FL 33176
Miami-Dade County (305) 270-3485

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 Rossana Mendez-clay's NPI number?

The NPI number for Rossana Mendez-clay is 1396065330. It was assigned to this individual provider in the NPPES registry on June 1, 2010.

Where is Rossana Mendez-clay located?

Rossana Mendez-clay practices at 8932 SW 97th Ave, Miami, FL 33176. The listed phone number is (305) 270-3400.

What is Rossana Mendez-clay's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Rossana Mendez-clay enrolled in Medicare?

Yes. Rossana Mendez-clay 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 Rossana Mendez-clay accept?

Health plans from AmeriHealth Caritas Next, Oscar Health Maintenance Organization of Florida and UnitedHealthcare list Rossana Mendez-clay 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 Rossana Mendez-clay was last updated on August 14, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.