SUSANA RAMIREZ RESTREPO APRN
NPI 1437634409
Nurse Practitioner in Coral Gables, FL

Active since September 26, 2018PECOS EnrolledAccepts Medicare Assignment
81.31/100
CMS Quality Rating
5555 PONCE DE LEON BLVD, CORAL GABLES, FL 33146(305) 689-5555(305) 689-1820 Get Directions Write a Review

NPPES record last updated: August 9, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 9, 2023, Feb 7, 2019, Sep 26, 2018 (3 updates tracked since 2018).

About Susana Ramirez Restrepo Aprn NPPES

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

SUSANA RAMIREZ RESTREPO APRN (NPI 1437634409) is an individual nurse practitioner in Coral Gables, Florida, licensed in Florida (APRN11000053) and active in the NPI registry since September 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1437634409
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameSUSANA RAMIREZ RESTREPOCredential: APRN
Location Address5555 PONCE DE LEON BLVDCoral Gables, FL 33146-2513
Mailing Address5555 Ponce De Leon BlvdCoral Gables, FL 33146-2513 · (305) 689-5555 · Fax (305) 689-1820
Fax(305) 689-1820
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateSeptember 26, 2018
Last NPPES UpdateAugust 9, 20233 updates tracked since enumeration
NPPES CertifiedAugust 9, 2023
✔ NPI 1437634409 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in FL · APRN11000053
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License APRN11000053 (FL)
5555 PONCE DE LEON BLVD, Coral Gables, FL 33146

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Susana Ramirez Restrepo Aprn 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 ID5496094542
PECOS Enrollment IDI20190307000268, I20260216000538, I20260513000467
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 Susana Ramirez Restrepo reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
8932 SW 97TH AVE
Miami, FL 33176
  • Reassigned Medicare billing, Florida enrollment
  • 3,639 clinicians in this Medicare group
Internal Medicine
33 CORPORATE DR
Orangeburg, NY 10962
  • Reassigned Medicare billing, Florida, New York, Pennsylvania and Texas enrollments
  • 40 clinicians in this Medicare group

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

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.
18 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33146 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 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.
0%36 patients
Breast Cancer Screening
43%288 patients2/55-star benchmark: 93%
Cervical Cancer Screening
36%365 patients2/55-star benchmark: 98%
Colorectal Cancer Screening
67%546 patients4/55-star benchmark: 88%
Controlling High Blood Pressure
77%248 patients4/55-star benchmark: 91%
Diabetes: Eye Exam
45%121 patients2/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
32%121 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
99%1,242 patients4/55-star benchmark: 100%
e-Prescribing
100%163 patients5/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
100%203 patients5/55-star benchmark: 100%
HIV Screening
31%665 patients3/55-star benchmark: 60%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
52%746 patients3/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
83%662 patients4/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
34%770 patients3/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 97% · 305 patients
Patients screened: 100% · 305 patients
50%20 patients3/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
100%303 patients5/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 7% · 227 patients
Patients totalRate: 19% · 227 patients
19%227 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.

Physician Assistant (Surgical)
5555 PONCE DE LEON BLVD
CORAL GABLES, FL 33146
Radiology (Diagnostic Radiology)
5555 PONCE DE LEON BLVD
CORAL GABLES, FL 33146
Internal Medicine (Cardiovascular Disease)
5555 PONCE DE LEON BLVD
CORAL GABLES, FL 33146
Internal Medicine (Interventional Cardiology)
5555 PONCE DE LEON BLVD
CORAL GABLES, FL 33146
Internal Medicine (Nephrology)
5555 PONCE DE LEON BLVD
CORAL GABLES, FL 33146
Dietitian, Registered
5555 PONCE DE LEON BLVD
CORAL GABLES, FL 33146
Internal Medicine
5555 PONCE DE LEON BLVD
CORAL GABLES, FL 33146
Nurse Practitioner
5555 PONCE DE LEON BLVD
CORAL GABLES, FL 33146

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 Susana Ramirez Restrepo's NPI number?

The NPI number for Susana Ramirez Restrepo is 1437634409. It was assigned to this individual provider in the NPPES registry on September 26, 2018.

Where is Susana Ramirez Restrepo located?

Susana Ramirez Restrepo practices at 5555 Ponce De Leon Blvd, Coral Gables, FL 33146. The listed phone number is (305) 689-5555.

What is Susana Ramirez Restrepo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Susana Ramirez Restrepo enrolled in Medicare?

Yes. Susana Ramirez Restrepo 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.

Which organizations bill Medicare for Susana Ramirez Restrepo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Susana Ramirez Restrepo reassigns Medicare benefits to 2 organizations: University Of Miami (Miami, FL) and Chaim Gitelis Do PC (Orangeburg, NY). 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 Susana Ramirez Restrepo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Susana Ramirez Restrepo was last updated on August 9, 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.