Nicole L. Ramirez , NP-C
Nurse Practitioner • Grosse Pointe, MI
468 Cadieux Rd
Grosse Pointe, MI 482301507
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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NPI assigned on November 23, 2016; this date does not establish years in practice.
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Published CMS data list 46 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 99291 — Critical care: 32 service units.
- 99232 — Subsequent hospital care with moderate levelof medical decision making: 14 service units.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPT® only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See the full table · Guide: How to read Medicare Part B data
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Fewer Medicare Part B services than 80% of clinicians listed under Nurse Practitioner in Michigan (2024, 1,372 clinicians with data). Median for this group: 167. Middle half: 69 to 368.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 60 in 2020 to 46 in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2020–2024.
Practice Location & Contact Primary Location
468 Cadieux Rd
Grosse Pointe, MI 482301507
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
NPPES lists 2 distinct additional practice-address records in Troy, MI. See the list
Source: CMS NPPES NPI Registry, practice location records; release date unavailable.
CMS Doctors and Clinicians lists 1 group name: Beaumont Medical Group- Specialty Services. See the list
Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
2016
What Public CMS Data Show
Nurse Practitioner: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
59 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.
Medicare-allowed amount
About $6,860 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.
Paid by Medicare
About $5,422 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.
Industry payments (Open Payments)
No Open Payments records are listed for this clinician for 2021–2025.
Years since graduation
10 years (graduated 2016)
CMS Doctors and Clinicians data list 2016 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2016
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Nicole Ramirez has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Nicole Ramirez as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Grosse Pointe and Michigan
Billing and prescribing volume is not a quality rating.
Medicare Part B services
Fewer Medicare Part B services than 80% of clinicians listed under Nurse Practitioner in Michigan (2024, 1,372 clinicians with data). Median for this group: 167. Middle half: 69 to 368.
Too few clinicians listed under Nurse Practitioner in Grosse Pointe have Medicare Part B data for 2024 to compare.
Medicare-allowed amount
A lower Medicare-allowed amount than 65% of clinicians listed under Nurse Practitioner in Michigan (2024, 1,372 clinicians with data). Median for this group: $13,264. Middle half: $5,488 to $26,831.
Too few clinicians listed under Nurse Practitioner in Grosse Pointe have Medicare Part B data for 2024 to compare.
Paid by Medicare
A lower Medicare payment amount than 65% of clinicians listed under Nurse Practitioner in Michigan (2024, 1,372 clinicians with data). Median for this group: $9,814. Middle half: $4,035 to $19,683.
Too few clinicians listed under Nurse Practitioner in Grosse Pointe have Medicare Part B data for 2024 to compare.
16 active clinicians are listed under Nurse Practitioner with a practice address in Grosse Pointe, MI (3,576 in Michigan).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Grosse Pointe
25% of these 16 clinicians have the CMS telehealth indicator.
68.8% of these 16 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services decreased 23% from 60 in 2020 to 46 in 2024.
- 2020: 60
- 2021: 35
- 2022: 24
- 2023: 11
- 2024: 46
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Medicare-allowed amount
Medicare-allowed amount increased 46% from $4,689 in 2020 to $6,860 in 2024.
- 2020: $4,689
- 2021: $2,557
- 2022: $1,788
- 2023: $713
- 2024: $6,860
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Paid by Medicare
Paid by Medicare increased 46% from $3,722 in 2020 to $5,422 in 2024.
- 2020: $3,722
- 2021: $1,998
- 2022: $1,402
- 2023: $574
- 2024: $5,422
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo · Report an error.
Performed Procedures & Service Volume
CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2017–2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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99291
Critical care, first 30-74 minutes
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32 | 32 | $725.00 | $184.74 |
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99232
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
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14 | 14 | $157.00 | $67.75 |
Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2023-06-30NUCC Taxonomy Code: 363L00000X
(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.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - NURSE PRACTITIONER
I20161214000268
MI
0840570636
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File
Beaumont Medical Group- Specialty Services
468 Cadieux Rd, Grosse Pointe, MI 482301507
Phone: 3134731705
Beaumont Medical Group- Specialty Services
28100 Grand River Ave, Farmington Hills, MI 483365970
Beaumont Medical Group- Specialty Services
468 Cadieux Rd, Grosse Pointe, MI 482301507
Phone: 3134736900
Secondary Practice Locations
44199 Dequindre Rd Ste 315
Troy, MI 480851128
Phone: 2489643600
44201 Dequindre Rd
Troy, MI 480851117
Phone: 2489648193
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Physician Assistant
Physician Assistant
Nurse Practitioner
Family Nurse Practitioner (Board Certified)
Physician Assistant
Physician Assistant
Physician Assistant (Certified)
Physician Assistant
Physician Assistant (Certified)
Physician Assistant
Physician Assistant (Certified)
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 468 CADIEUX RD, GROSSE POINTE, MI 482301507 (Tel: 3134736899)
Registered at 44201 DEQUINDRE RD, TROY, MI 480851117 (Tel: 2489648193)
Registered at 26901 BEAUMONT BLVD STE 3D, SOUTHFIELD, MI 480333849
NPI status registered as active in NPPES database
Registered at 468 CADIEUX RD, GROSSE POINTE, MI 482301507 (Tel: 3134731605)
Registered at 130 TOWN CENTER DR, SUITE 203, TROY, MI 480841744 (Tel: 2485858250)
Recorded as NICOLE RAMIREZ, NP-C
Nurse Practitioner (license number reported to NPPES: MI 4704268606)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Nurse Practitioners in Grosse Pointe
- Alana Wiegand, NP
- Lenore Ranieri, RN MSN NP C
- Katie Coaster, NP-C
- Jessica Hall
- William Watson, APRN, AGACNP-BC
- Alexandria Pawlusiak, AGACNP-BC
Mailing Address
26901 Beaumont Blvd Ste 3d
Southfield, MI 480333849