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AMERICA DENISSE RAMIREZ SIERRA NP
NPI 1699411868
Nurse Practitioner in Tucson, AZ

Active since May 10, 2022PECOS Enrolled
38.62/100
CMS Quality Rating
4881 E GRANT RD, TUCSON, AZ 85712(520) 829-6776(520) 829-6661 Get Directions Write a Review

NPPES record last updated: May 10, 2022. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About America Denisse Ramirez Sierra Np NPPES

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

AMERICA DENISSE RAMIREZ SIERRA NP (NPI 1699411868) is an individual nurse practitioner in Tucson, Arizona, licensed in Arizona (273525) and active in the NPI registry since May 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1699411868
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameAMERICA DENISSE RAMIREZ SIERRACredential: NP
Location Address4881 E GRANT RDTucson, AZ 85712-2704
Mailing Address4881 E Grant RdTucson, AZ 85712-2704 · (520) 829-6776 · Fax (520) 829-6661
Phone(520) 829-6776
Fax(520) 829-6661
Sole ProprietorNo
Enumeration DateMay 10, 2022
NPPES CertifiedFebruary 17, 2022
✔ NPI 1699411868 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in AZ · 273525
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.
4881 E GRANT RD, Tucson, AZ 85712
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

America Denisse Ramirez Sierra Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show America Ramirez Sierra reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pain Institute Of Southern Arizona Pisa PC
4.8 mi
Pain Medicine
4582 N FIRST AVE, STE 170
Tucson, AZ 85718
  • Reassigned Medicare billing, Arizona enrollment
  • 27 clinicians in this Medicare group
NPI 1861575078 (520) 318-6035

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 8

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.

Testing for presence of drug, by chemistry analyzers 80307
Chemistry analyzers are used to detect the presence of drugs in your system. This test involves taking a small sample of your blood or urine. The sample is then analyzed for specific substances. The results help in understanding your health condition better.
261 services146 patients
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms G0481
A definitive drug test is a detailed analysis used to identify specific drugs in your system. It uses advanced techniques, such as gc/ms and lc/ms, to detect and distinguish between different drugs, even those with similar structures.
165 services107 patients
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.
130 services92 patients
Injection of trigger points, 3 or more muscles 20553
Trigger point injection therapy involves injecting medication into specific areas of your muscles, known as trigger points. These are areas that produce pain and discomfort. If you have three or more muscles affected, each will be treated individually.
81 services63 patients
Ultrasonic guidance for needle placement 76942
Ultrasonic guidance for needle placement is a technique where sound waves create images that help accurately position the needle during procedures. This method ensures precision, minimizes discomfort, and increases safety.
81 services62 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
47 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85712 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

38.62/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality40.35
Promoting Interoperability0
Improvement Activities40
Cost38.4

Other Providers at the Same Location NPPES 3

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

SAGUARO PHYSICIANS, LLC
Family Medicine
4881 E GRANT RD, STE 201
TUCSON, AZ 85712
Pima County (520) 324-4100
VICTORIA JANE TARAVELLA PA-C
Physician Assistant
4881 E GRANT RD
TUCSON, AZ 85712
Pima County (520) 318-6035
DONNA WOODS
Internal Medicine
4881 E GRANT RD, STE 201
TUCSON, AZ 85712
Pima County (520) 324-2414

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 America Ramirez Sierra's NPI number?

The NPI number for America Ramirez Sierra is 1699411868. It was assigned to this individual provider in the NPPES registry on May 10, 2022.

Where is America Ramirez Sierra located?

America Ramirez Sierra practices at 4881 E Grant Rd, Tucson, AZ 85712. The listed phone number is (520) 829-6776.

What is America Ramirez Sierra's specialty?

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

Is America Ramirez Sierra enrolled in Medicare?

Yes. America Ramirez Sierra is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for America Ramirez Sierra's services?

According to the CMS Revalidation Reassignment List (October 2026 release), America Ramirez Sierra reassigns Medicare benefits to Pain Institute Of Southern Arizona Pisa PC (Tucson, AZ). The 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 America Ramirez Sierra'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 America Ramirez Sierra was last updated on May 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.