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GISELLE SOSA VALDES APRN
NPI 1801558127
Nurse Practitioner - Family in Miami, FL

Active since October 13, 2021PECOS EnrolledAccepts Medicare Assignment
99.93/100
CMS Quality Rating
12314 SW 127TH AVE, MIAMI, FL 33186(786) 595-8080(786) 533-9381 Get Directions Write a Review

NPPES record last updated: October 27, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 27, 2022, Aug 11, 2022, Jan 19, 2022 and 1 more (4 updates tracked since 2021).

About Giselle Sosa Valdes Aprn NPPES

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

GISELLE SOSA VALDES APRN (NPI 1801558127) is an individual family provider in Miami, Florida, licensed in Florida (APRN11005893) and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS, is affiliated with West Kendall Baptist Hospital, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1801558127
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameGISELLE SOSA VALDESCredential: APRN
Location Address12314 SW 127TH AVEMiami, FL 33186-6579
Mailing AddressPo Box 198054Atlanta, GA 30384-8054 · (786) 595-8080
Phone(786) 595-8080
Fax(786) 533-9381
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateOctober 13, 2021
Last NPPES UpdateOctober 27, 20224 updates tracked since enumeration
NPPES CertifiedOctober 27, 2022
✔ NPI 1801558127 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in FL · APRN11005893
Also ListedNurse PractitionerTaxonomy 363L00000X · License APRN11005893 (FL)
12314 SW 127TH AVE, Miami, FL 33186
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Maintenance Organization of Florida.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

Giselle Sosa Valdes 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 ID3779975735
PECOS Enrollment IDI20220125001008
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 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.
84 services64 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.
30 services28 patients

Hospital Affiliations CMS Care Compare

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

West Kendall Baptist Hospital

Acute Care Hospitals · Miami, FL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100314
Location9555 SW 162 AveMiami, FL 33196 · Miami-Dade County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33186 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.

99.93/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.3
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 10

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

LESLY RAPADO PHARMD
Pharmacist
12314 SW 127TH AVE
MIAMI, FL 33186
Miami-Dade County (786) 595-8080
DR. PATRICIA FEITO M.D.
Family Medicine
12314 SW 127TH AVE
MIAMI, FL 33186
Miami-Dade County (786) 595-8080
CHRISTOPHER JORGE DA FONSECA M.D.
Family Medicine
12314 SW 127TH AVE
MIAMI, FL 33186
Miami-Dade County (786) 595-8080
BAPTIST HEALTH MEDICAL GROUP PHYSICIANS, LLC
Internal Medicine
12314 SW 127TH AVE
MIAMI, FL 33186
Miami-Dade County (786) 595-8080
DR. JEREMY LAURENCE THARKUR MD
Family Medicine
12314 SW 127TH AVE
MIAMI, FL 33186
Miami-Dade County (786) 595-8080
DR. FERNANDO ALVAREZ JR. DO
Family Medicine
12314 SW 127TH AVE
MIAMI, FL 33186
Miami-Dade County (786) 595-8080
MS. NATACHA BORRAJO RD
Dietitian, Registered
12314 SW 127TH AVE
MIAMI, FL 33186
Miami-Dade County (786) 595-8080
MRS. EDLINA YOLANDA HILSON ARNP
Nurse Practitioner
12314 SW 127TH AVE, 12314 SW 127 AVENUE MIAMI FLORIDA 33033
MIAMI, FL 33186
Miami-Dade County (786) 595-8080

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 Giselle Valdes's NPI number?

The NPI number for Giselle Valdes is 1801558127. It was assigned to this individual provider in the NPPES registry on October 13, 2021.

Where is Giselle Valdes located?

Giselle Valdes practices at 12314 SW 127th Ave, Miami, FL 33186. The listed phone number is (786) 595-8080.

What is Giselle Valdes's specialty?

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

Is Giselle Valdes enrolled in Medicare?

Yes. Giselle Valdes 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 Giselle Valdes accept?

Health plans from Oscar Health Maintenance Organization of Florida list Giselle Valdes 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 Giselle Valdes affiliated with any hospitals?

According to CMS data, Giselle Valdes is affiliated with West Kendall Baptist Hospital.

When was this NPI record last updated?

The NPPES record for Giselle Valdes was last updated on October 27, 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.