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MRS. CONSUELO SANCLEMENTE APRN
NPI 1972185163
Nurse Practitioner - Acute Care in Miami, FL

Active since April 27, 2021PECOS EnrolledAccepts Medicare Assignment
82.63/100
CMS Quality Rating
8525 SW 92ND ST # 10, MIAMI, FL 33156(305) 274-7800 Get Directions Write a Review

NPPES record last updated: April 27, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Consuelo Sanclemente Aprn NPPES

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

MRS. CONSUELO SANCLEMENTE APRN (NPI 1972185163) is an individual acute care provider in Miami, Florida, licensed in Florida (APRN11005310) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS, is affiliated with Baptist Hospital Of Miami, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1972185163
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameMRS. CONSUELO SANCLEMENTECredential: APRN
Location Address8525 SW 92ND ST # 10Miami, FL 33156-7365
Mailing Address5500 Sw 77th Ct Apt 305Miami, FL 33155-4377 · (305) 613-7131
Phone(305) 274-7800
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateApril 27, 2021
NPPES CertifiedApril 20, 2021
✔ NPI 1972185163 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in FL · APRN11005310
8525 SW 92ND ST # 10, Miami, FL 33156
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Accepted Insurance

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

Mrs. Consuelo Sanclemente 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 ID9537569942
PECOS Enrollment IDI20211108000226
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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
156 services95 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
88 services83 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.
12 services11 patients

Hospital Affiliations CMS Care Compare

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

Baptist Hospital Of Miami

Acute Care Hospitals · Miami, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100008
Location8900 N Kendall DrMiami, FL 33176 · Miami-Dade County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33156 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.

82.63/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.96
Promoting Interoperability100
Improvement Activities40
Cost67.14

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 Consuelo Sanclemente's NPI number?

The NPI number for Consuelo Sanclemente is 1972185163. It was assigned to this individual provider in the NPPES registry on April 27, 2021.

Where is Consuelo Sanclemente located?

Consuelo Sanclemente practices at 8525 SW 92nd St # 10, Miami, FL 33156. The listed phone number is (305) 274-7800.

What is Consuelo Sanclemente's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Consuelo Sanclemente enrolled in Medicare?

Yes. Consuelo Sanclemente 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 Consuelo Sanclemente accept?

Health plans from AvMed, Oscar Health Maintenance Organization of Florida, UnitedHealthcare and Wellpoint list Consuelo Sanclemente 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 Consuelo Sanclemente affiliated with any hospitals?

According to CMS data, Consuelo Sanclemente is affiliated with Baptist Hospital Of Miami.

When was this NPI record last updated?

The NPPES record for Consuelo Sanclemente was last updated on April 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.