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

Q: 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.

Q: What is Susana Ramirez Restrepo's specialty?

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

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: August 23, 2026.

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

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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

Phone(305) 689-5555

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

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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

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

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

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

Quality

78.45

Promoting Interoperability

100

Improvement Activities

Cost

50.59

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.

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