ELLEN DEBRA HOPKINS ARNP
NPI 1952591463
Nurse Practitioner - Family in Miami, FL

Active since July 31, 2007PECOS EnrolledAccepts Medicare Assignment
81.31/100
CMS Quality Rating
1475 NW 12TH AVE, MIAMI, FL 33136(305) 243-2233(305) 243-4398 Get Directions Write a Review

NPPES record last updated: January 30, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ellen Debra Hopkins Arnp NPPES

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

ELLEN DEBRA HOPKINS ARNP (NPI 1952591463) is an individual family provider in Miami, Florida, licensed in Florida (ARNP3163862) and active in the NPI registry since July 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2003).

NPPES Registry Identity

NPI1952591463
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameELLEN DEBRA HOPKINSCredential: ARNP
Location Address1475 NW 12TH AVEMiami, FL 33136-1002
Mailing Address1475 Nw 12th AveMiami, FL 33136-1002 · (305) 243-2233 · Fax (305) 243-4398
Fax(305) 243-4398
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateJuly 31, 2007
Last NPPES UpdateJanuary 30, 2014
NPI 1952591463 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 · ARNP3163862
Also ListedRegistered Nurse · Obstetric, InpatientTaxonomy 163WX0003X · License ARNP3163862 (FL)
1475 NW 12TH AVE, Miami, FL 33136

Accepted 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

Ellen Debra Hopkins Arnp 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 ID3375630130
PECOS Enrollment IDI20170426001232
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 3

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.
17 services15 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.
13 services13 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.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33136 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

Reported Quality Measures

Breast Cancer Screening
74%69 patients4/55-star benchmark: 93%
Cervical Cancer Screening
87%67 patients4/55-star benchmark: 98%
Colorectal Cancer Screening
38%91 patients2/55-star benchmark: 88%
Controlling High Blood Pressure
79%28 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
95%152 patients4/55-star benchmark: 100%
e-Prescribing
99%169 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
97%39 patients4/55-star benchmark: 100%
HIV Screening
38%106 patients3/55-star benchmark: 60%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
45%133 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
96%115 patients4/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
41%119 patients3/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 99% · 110 patients
99%110 patients
Provide Patients Electronic Access to Their Health Information
100%43 patients5/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 7% · 42 patients
Patients totalRate: 17% · 42 patients
14%42 patients3/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Cyclophosphamide; oral, 25 mg J8530
Treatment-Treatment - Miscellaneous · category RX000N
2 suppliers13 claims780 services$0.61 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

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

Nurse Practitioner (Family)
1475 NW 12TH AVE
MIAMI, FL 33136
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
1475 NW 12TH AVE, BOX 016960 M851
MIAMI, FL 33136
Dermatology
1475 NW 12TH AVE, BOX 016960
MIAMI, FL 33136
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1475 NW 12TH AVE
MIAMI, FL 33136
Radiology (Vascular & Interventional Radiology)
1475 NW 12TH AVE
MIAMI, FL 33136
Acupuncturist
1475 NW 12TH AVE
MIAMI, FL 33136
Radiology (Radiation Oncology)
1475 NW 12TH AVE, SUITE 1500
MIAMI, FL 33136
Nurse Practitioner (Gerontology)
1475 NW 12TH AVE
MIAMI, FL 33136

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 Ellen Hopkins's NPI number?

The NPI number for Ellen Hopkins is 1952591463. It was assigned to this individual provider in the NPPES registry on July 31, 2007.

Where is Ellen Hopkins located?

Ellen Hopkins practices at 1475 NW 12th Ave, Miami, FL 33136. The listed phone number is (305) 243-2233.

What is Ellen Hopkins's specialty?

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

Is Ellen Hopkins enrolled in Medicare?

Yes. Ellen Hopkins 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 Ellen Hopkins accept?

Health plans from AmeriHealth Caritas Next list Ellen Hopkins 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 Ellen Hopkins was last updated on January 30, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.