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ROSELY DE LOS SANTOS FNP
NPI 1801249032
Nurse Practitioner - Family in Miami, FL

Active since July 22, 2016PECOS EnrolledAccepts Medicare Assignment
87.41/100
CMS Quality Rating
1545 NW 15TH STREET RD APT 908, MIAMI, FL 33125(786) 234-9514 Get Directions Write a Review

NPPES record last updated: July 5, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Rosely De Los Santos Fnp NPPES

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

ROSELY DE LOS SANTOS FNP (NPI 1801249032) is an individual family provider in Miami, Florida, licensed in Florida (2016026473) and active in the NPI registry since July 2016. She is enrolled in Medicare PECOS, is affiliated with Jackson Health System, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1801249032
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameROSELY DE LOS SANTOSCredential: FNP
Location Address1545 NW 15TH STREET RD APT 908Miami, FL 33125-1671
Mailing Address1545 Nw 15th Street Rd Apt 908Miami, FL 33125-1671
Phone(786) 234-9514
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateJuly 22, 2016
Last NPPES UpdateJuly 5, 2017
✔ NPI 1801249032 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 · 2016026473
1545 NW 15TH STREET RD APT 908, Miami, FL 33125
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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

Rosely De Los Santos Fnp 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 ID3678834827
PECOS Enrollment IDI20180302001602
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 2

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.
104 services56 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.
20 services13 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Jackson Health System

Acute Care Hospitals · Miami, FL
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100022
Location1611 NW 12th AveMiami, FL 33136 · Miami-Dade County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33125 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.

87.41/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.73
Improvement Activities40
Cost60.03

Referred Medical Equipment & Supplies CMS DME claims

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
3 suppliers12 claims42 services$7.09 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Rosely De Los Santos's NPI number?

The NPI number for Rosely De Los Santos is 1801249032. It was assigned to this individual provider in the NPPES registry on July 22, 2016.

Where is Rosely De Los Santos located?

Rosely De Los Santos practices at 1545 NW 15th Street Rd Apt 908, Miami, FL 33125. The listed phone number is (786) 234-9514.

What is Rosely De Los Santos's specialty?

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

Is Rosely De Los Santos enrolled in Medicare?

Yes. Rosely De Los Santos 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 Rosely De Los Santos accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AmeriHealth Caritas Next and AvMed and 2 other insurers list Rosely De Los Santos 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.

Is Rosely De Los Santos affiliated with any hospitals?

According to CMS data, Rosely De Los Santos is affiliated with Jackson Health System.

When was this NPI record last updated?

The NPPES record for Rosely De Los Santos was last updated on July 5, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.