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SHIRLEY REYES ARNP
NPI 1457719510
Nurse Practitioner - Women's Health in Sebring, FL

Active since February 04, 2016PECOS EnrolledAccepts Medicare Assignment
89.67/100
CMS Quality Rating
37 RYANT BLVD, SEBRING, FL 33870(863) 402-7555 Get Directions Write a Review

NPPES record last updated: February 10, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 10, 2016, Feb 4, 2016 (2 updates tracked since 2016).

About Shirley Reyes Arnp NPPES

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

SHIRLEY REYES ARNP (NPI 1457719510) is an individual women's health provider in Sebring, Florida, licensed in Florida (ARNP9310959) and active in the NPI registry since February 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1457719510
Entity TypeIndividualFemale
Primary Taxonomy363LW0102X
Provider Legal NameSHIRLEY REYESCredential: ARNP
Location Address37 RYANT BLVDSebring, FL 33870-8075
Mailing Address37 Ryant BlvdSebring, FL 33870-8075 · (863) 402-7555
Phone(863) 402-7555
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateFebruary 4, 2016
Last NPPES UpdateFebruary 10, 20162 updates tracked since enumeration
✔ NPI 1457719510 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LW0102X
License✔ Licensed in FL · ARNP9310959
37 RYANT BLVD, Sebring, FL 33870
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama 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

Shirley Reyes 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 ID2163720798
PECOS Enrollment IDI20160415000781
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 4

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 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.
28 services23 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.
25 services14 patients
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091
A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.
20 services20 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
19 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33870 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

89.67/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality97.86
Promoting Interoperability100
Improvement Activities40
Cost67.71

Reported Quality Measures

Breast Cancer Screening
73%354 patients4/55-star benchmark: 93%
Cervical Cancer Screening
92%1,229 patients4/55-star benchmark: 98%
Closing the Referral Loop: Receipt of Specialist Report
46%78 patients3/55-star benchmark: 87%
Colorectal Cancer Screening
23%509 patients2/55-star benchmark: 88%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
86%65 patients1/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
100%2,948 patients5/55-star benchmark: 100%
e-Prescribing
99%750 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
57%1,363 patients3/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
37%2,615 patients3/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 96% · 1,333 patients
Patients screened: 99% · 1,333 patients
47%64 patients2/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
76%708 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

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

RACHEL LYNN COOPER-MERCADO MD
Obstetrics & Gynecology
37 RYANT BLVD
SEBRING, FL 33870
Highlands County (863) 402-7555

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 Shirley Reyes's NPI number?

The NPI number for Shirley Reyes is 1457719510. It was assigned to this individual provider in the NPPES registry on February 4, 2016.

Where is Shirley Reyes located?

Shirley Reyes practices at 37 Ryant Blvd, Sebring, FL 33870. The listed phone number is (863) 402-7555.

What is Shirley Reyes's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

Is Shirley Reyes enrolled in Medicare?

Yes. Shirley Reyes 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 Shirley Reyes accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AvMed and UnitedHealthcare list Shirley Reyes 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 Shirley Reyes was last updated on February 10, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.