ERIKA J VALDEZ
NPI 1619510815
Nurse Practitioner - Family in Pueblo, CO

Active since October 21, 2019PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
415 N GRAND AVE, PUEBLO, CO 81003(719) 924-8448(719) 924-9382 Get Directions Write a Review

NPPES record last updated: October 21, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Erika J Valdez NPPES

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

ERIKA J VALDEZ (NPI 1619510815) is an individual family provider in Pueblo, Colorado, licensed in Colorado (APN.0995122-NP) and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1619510815
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameERIKA J VALDEZ
Location Address415 N GRAND AVEPueblo, CO 81003-3111
Mailing Address415 N Grand AvePueblo, CO 81003-3111 · (719) 924-8448 · Fax (719) 924-9382
Fax(719) 924-9382
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateOctober 21, 2019
NPI 1619510815 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 CO · APN.0995122-NP
415 N GRAND AVE, Pueblo, CO 81003

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

Erika J Valdez 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 ID5496187288
PECOS Enrollment IDI20191115002575
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 7

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.
89 services47 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
72 services43 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.
43 services30 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
33 services33 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
28 services13 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
17 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 81003 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
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$102.03 typical visit price
range $18.88 – $142.79
Typical copayment $25.50 (range $4.72 – $35.69)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality92.6
Promoting Interoperability99
Improvement Activities40
Cost100

Reported Quality Measures

Advance Care Plan
100%140 patients5/55-star benchmark: 100%
Breast Cancer Screening
19%150 patients1/55-star benchmark: 100%
Colorectal Cancer Screening
15%371 patients1/55-star benchmark: 100%
Controlling High Blood Pressure
68%307 patients3/55-star benchmark: 98%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
17%109 patients4/55-star benchmark: 98%
e-Prescribing
100%2,167 patients5/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
99%769 patients4/55-star benchmark: 100%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
68%541 patients3/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 94% · 486 patients
Patients screened: 98% · 486 patients
80%95 patients4/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
96%98 patients4/55-star benchmark: 100%
Tobacco Use and Help with Quitting Among Adolescents
82%79 patients1/55-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 3

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
8 suppliers31 claims63 services$5.54 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
5 suppliers25 claims25 services$19.64 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
7 suppliers42 claims42 services$99.73 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 5

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

Nurse Practitioner (Acute Care)
415 N GRAND AVE
PUEBLO, CO 81003
Nurse Practitioner (Family)
415 N GRAND AVE
PUEBLO, CO 81003
Legal Medicine
415 N GRAND AVE
PUEBLO, CO 81003
Legal Medicine
415 N GRAND AVE
PUEBLO, CO 81003
Family Medicine (Adult Medicine)
415 N GRAND AVE
PUEBLO, CO 81003

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 Erika Valdez's NPI number?

The NPI number for Erika Valdez is 1619510815. It was assigned to this individual provider in the NPPES registry on October 21, 2019.

Where is Erika Valdez located?

Erika Valdez practices at 415 N Grand Ave, Pueblo, CO 81003. The listed phone number is (719) 924-8448.

What is Erika Valdez's specialty?

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

Is Erika Valdez enrolled in Medicare?

Yes. Erika Valdez 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.

When was this NPI record last updated?

The NPPES record for Erika Valdez was last updated on October 21, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.