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KIMBERLY SHAY LAMELAS APRN
NPI 1912456674
Nurse Practitioner in Miami, FL

Active since September 22, 2016PECOS EnrolledAccepts Medicare Assignment
81.31/100
CMS Quality Rating
1295 NW 14TH ST STE H, MIAMI, FL 33125(305) 689-2784 Get Directions Write a Review

NPPES record last updated: December 18, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 18, 2018, Sep 22, 2016 (2 updates tracked since 2016).

About Kimberly Shay Lamelas Aprn NPPES

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

KIMBERLY SHAY LAMELAS APRN (NPI 1912456674) is an individual nurse practitioner in Miami, Florida, licensed in Florida (APRN2860862) and active in the NPI registry since September 2016. She is enrolled in Medicare PECOS, is affiliated with Naples Community Hospital, and is a graduate of Other (1998).

NPPES Registry Identity

NPI1912456674
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKIMBERLY SHAY LAMELASCredential: APRN
Location Address1295 NW 14TH ST STE HMiami, FL 33125-1600
Mailing Address1295 Nw 14th St Ste HMiami, FL 33125-1600 · (305) 689-2784
Phone(305) 689-2784
Sole ProprietorYes
Medical School CMSOtherGraduated 1998
Enumeration DateSeptember 22, 2016
Last NPPES UpdateDecember 18, 20182 updates tracked since enumeration
✔ NPI 1912456674 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in FL · APRN2860862
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.
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License AP131777 (TX)
1295 NW 14TH ST STE H, 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, AmeriHealth Caritas Next 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

Kimberly Shay Lamelas 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 ID9739468133
PECOS Enrollment IDI20181221002505
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

3

Medicare enrollment records show Kimberly Lamelas reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Miami
Same address
Clinical Cardiac Electrophysiology
1295 NW 14TH ST, SUITE A
Miami, FL 33125
  • Reassigned Medicare billing, Florida enrollment
  • 3,639 clinicians in this Medicare group
NPI 1104232578 (305) 243-5554
Nchmd Inc
102 mi
Hematology & Oncology
350 7TH ST. N
Naples, FL 34102
  • Reassigned Medicare billing, Florida enrollment
  • 808 clinicians in this Medicare group
NPI 1831120195 (239) 624-6400
Baylor College Of Medicine
967 mi
Medical Genetics, Ph.D. Medical Genetics
7200 CAMBRIDGE ST FL 10
Houston, TX 77030
  • Reassigned Medicare billing, Texas enrollment
  • 2,554 clinicians in this Medicare group
NPI 1881026664 (713) 798-0000

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 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.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
24 services24 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
18 services18 patients

Hospital Affiliations CMS Care Compare

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

Naples Community Hospital

Acute Care Hospitals · Naples, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100018
Location350 7th St NNaples, FL 34102 · Collier 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.

81.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.45
Promoting Interoperability100
Improvement Activities40
Cost50.59

Other Providers at the Same Location NPPES

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

MARCOS GARCIA SALAS CSA
Specialist/Technologist, Other (Surgical Assistant)
1295 NW 14TH ST STE H
MIAMI, FL 33125
Miami-Dade County (305) 689-2865

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 Kimberly Lamelas's NPI number?

The NPI number for Kimberly Lamelas is 1912456674. It was assigned to this individual provider in the NPPES registry on September 22, 2016.

Where is Kimberly Lamelas located?

Kimberly Lamelas practices at 1295 NW 14th St Ste H, Miami, FL 33125. The listed phone number is (305) 689-2784.

What is Kimberly Lamelas's specialty?

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

Is Kimberly Lamelas enrolled in Medicare?

Yes. Kimberly Lamelas 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 Kimberly Lamelas's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Lamelas reassigns Medicare benefits to 3 organizations: University Of Miami (Miami, FL), Nchmd Inc (Naples, FL) and Baylor College Of Medicine (Houston, TX). 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 Kimberly Lamelas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kimberly Lamelas accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, AmeriHealth Caritas Next, Cigna HealthCare of Florida, Inc. and Cigna Healthcare and 1 other insurer list Kimberly Lamelas 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 Kimberly Lamelas affiliated with any hospitals?

According to CMS data, Kimberly Lamelas is affiliated with Naples Community Hospital.

When was this NPI record last updated?

The NPPES record for Kimberly Lamelas was last updated on December 18, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.