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PRISCILLA RUBIO APRN
NPI 1790494441
Nurse Practitioner - Family in Miami, FL

Active since November 22, 2022PECOS EnrolledAccepts Medicare Assignment
51 SW 135TH AVE, MIAMI, FL 33184(305) 934-4992 Get Directions Write a Review

NPPES record last updated: November 22, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Priscilla Rubio Aprn NPPES

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

PRISCILLA RUBIO APRN (NPI 1790494441) is an individual family provider in Miami, Florida, licensed in Florida (APRN11023152) and active in the NPI registry since November 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1790494441
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NamePRISCILLA RUBIOCredential: APRN
Location Address51 SW 135TH AVEMiami, FL 33184-1001
Mailing Address51 Sw 135th AveMiami, FL 33184-1001 · (305) 934-4992
Phone(305) 934-4992
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateNovember 22, 2022
NPPES CertifiedNovember 22, 2022
✔ NPI 1790494441 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 FL · APRN11023152
51 SW 135TH AVE, Miami, FL 33184
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Cigna HealthCare of Florida, Inc., Oscar Health Maintenance Organization of Florida and more.Insurance ›

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

Priscilla Rubio 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 ID1658735352
PECOS Enrollment IDI20230914000027
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 Priscilla Rubio reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Primehealth Physicians LLC
7.5 mi
Internal Medicine
9045 SW 87TH CT
Miami, FL 33176
  • Reassigned Medicare billing, Florida enrollment
  • 32 clinicians in this Medicare group
NPI 1871838193 (954) 551-5562
Natasha A Fajardo MD PA
8.7 mi
Family Medicine
5995 SW 71ST ST STE 403-A
South Miami, FL 33143
  • Reassigned Medicare billing, Florida enrollment
  • 2 clinicians in this Medicare group
NPI 1003798786 (305) 894-7400

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 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.
90 services76 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.
30 services29 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.
17 services16 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.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33184 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.

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 Priscilla Rubio's NPI number?

The NPI number for Priscilla Rubio is 1790494441. It was assigned to this individual provider in the NPPES registry on November 22, 2022.

Where is Priscilla Rubio located?

Priscilla Rubio practices at 51 SW 135th Ave, Miami, FL 33184. The listed phone number is (305) 934-4992.

What is Priscilla Rubio's specialty?

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

Is Priscilla Rubio enrolled in Medicare?

Yes. Priscilla Rubio 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 Priscilla Rubio's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Priscilla Rubio reassigns Medicare benefits to 2 organizations: Primehealth Physicians LLC (Miami, FL) and Natasha A Fajardo MD PA (South Miami, FL). 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 Priscilla Rubio's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Priscilla Rubio accept?

Health plans from Cigna HealthCare of Florida, Inc., Cigna Healthcare, Oscar Health Maintenance Organization of Florida and UnitedHealthcare list Priscilla Rubio 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 Priscilla Rubio was last updated on November 22, 2022. 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.