Nancy Perez Ramirez , FNP-C
Nurse Practitioner โข Bristow, VA
13767 Restina Rd
Bristow, VA 201365788
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
-
NPI assigned on September 18, 2019; this date does not establish years in practice.
-
Published CMS data list 98 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Published rows only; this is not a quality measure.
-
Published Part B service records, 2024:
- 99204 โ New patient outpatient office visit: 39 service units.
- 99214 โ Established patient outpatient office visit: 37 service units.
- 99203 โ New patient outpatient office visit: 11 service units.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPTยฎ only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 4 records in the table ยท Guide: How to read Medicare Part B data
-
Published CMS data list 11 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Published rows only; this is not a quality measure.
-
Published Part D records, 2024:
- Amoxicillin-Clavulanate Potass (Amoxicillin/Potassium Clav) โ 11 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See the full table ยท Guide: How to read Medicare Part D prescriber data
-
Fewer Medicare Part B services than 75% of clinicians listed under Nurse Practitioner in Virginia (2024, 695 clinicians with data). Median for this group: 285. Middle half: 106 to 725.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
-
Medicare Part B services went from 141 in 2021 to 98 in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2021โ2024.
Practice Location & Contact Primary Location
13767 Restina Rd
Bristow, VA 201365788
NPPES lists 3 distinct additional practice-address records in Gainesville, VA; Sterling, VA. See the list
Source: CMS NPPES NPI Registry, practice location records; 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
2018
What Public CMS Data Show
Nurse Practitioner: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
97 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 โ by Provider, 2024.
Medicare-allowed amount
About $10,992 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 โ by Provider and Service, 2024.
Paid by Medicare
About $6,898 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 โ by Provider and Service, 2024.
30-day fills
11 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$52 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024.
Open Payments general payments, program year 2025
All general payments: $123.32 across 2 records.
By nature of payment
- Food and Beverage: $123.32 across 2 records.
Reporting-company totals
- ABBVIE INC.: $107.81 across 1 record.
- REVANCE THERAPEUTICS, INC.: $15.51 across 1 record.
A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.
Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).
Years since graduation
8 years (graduated 2018)
CMS Doctors and Clinicians data list 2018 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
2019
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.
May accept Medicare assignment
CMS data show this clinician may accept Medicare assignment. Clinicians who do not always accept assignment can decide case by case.
Ask the office before your visit. If a clinician does not accept assignment for a service, they can charge up to 15% more than the Medicare-approved amount, and you may be asked to pay the full amount at the visit.
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, โDoes your provider accept Medicare as full payment?โ
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)
Nancy 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 Nancy 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 Bristow and Virginia
Billing and prescribing volume is not a quality rating.
Medicare Part B services
Fewer Medicare Part B services than 75% of clinicians listed under Nurse Practitioner in Virginia (2024, 695 clinicians with data). Median for this group: 285. Middle half: 106 to 725.
Too few clinicians listed under Nurse Practitioner in Bristow have Medicare Part B data for 2024 to compare.
Medicare-allowed amount
A lower Medicare-allowed amount than 70% of clinicians listed under Nurse Practitioner in Virginia (2024, 695 clinicians with data). Median for this group: $22,840. Middle half: $9,806 to $51,372.
Too few clinicians listed under Nurse Practitioner in Bristow have Medicare Part B data for 2024 to compare.
Paid by Medicare
A lower Medicare payment amount than 75% of clinicians listed under Nurse Practitioner in Virginia (2024, 695 clinicians with data). Median for this group: $17,006. Middle half: $7,204 to $38,055.
Too few clinicians listed under Nurse Practitioner in Bristow have Medicare Part B data for 2024 to compare.
Medicare Part D prescriptions
Fewer Part D prescriptions than 95% of clinicians listed under Nurse Practitioner in Virginia (2024, 741 clinicians with data). Median for this group: 394. Middle half: 88 to 1,509.
Too few clinicians listed under Nurse Practitioner in Bristow have Medicare Part D data for 2024 to compare.
Part D drug cost
A lower Part D drug cost than 95% of clinicians listed under Nurse Practitioner in Virginia (2024, 741 clinicians with data). Median for this group: $24,717. Middle half: $1,457 to $186,741.
Too few clinicians listed under Nurse Practitioner in Bristow have Medicare Part D data for 2024 to compare.
2 active clinicians are listed under Nurse Practitioner with a practice address in Bristow, VA (1,722 in Virginia).
Addresses are self-reported to NPPES and may be out of date.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
-
Medicare Part B services
Medicare Part B services decreased 30% from 141 in 2021 to 98 in 2024.
- 2021: 141
- 2022: 94
- 2023: 255
- 2024: 98
-
Medicare-allowed amount
Medicare-allowed amount increased 38% from $7,961 in 2021 to $10,992 in 2024.
- 2021: $7,961
- 2022: $6,509
- 2023: $21,418
- 2024: $10,992
-
Paid by Medicare
Paid by Medicare varied from year to year: $7,362 in 2021 and $6,898 in 2024.
- 2021: $7,362
- 2022: $5,377
- 2023: $15,099
- 2024: $6,898
-
Medicare Part D prescriptions
Medicare Part D prescriptions decreased 84% from 70 in 2023 to 11 in 2024.
- 2023: 70
- 2024: 11
-
30-day fills
30-day fills decreased 84% from 70 in 2023 to 11 in 2024.
- 2023: 70
- 2024: 11
-
Part D drug cost
Part D drug cost went from $506 in 2023 to $52 in 2024.
- 2023: $506
- 2024: $52
-
Industry payments (Open Payments)
Industry payments (Open Payments) went from $353.69 in 2024 to $123.32 in 2025.
- 2024: $353.69
- 2025: $123.32
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo ยท Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2025 (payments made January 1 โ December 31, 2025): fewer than 11 records totaling $123.32.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| ABBVIE INC. |
Food and Beverage
In-kind items and services
|
โ | General | $107.81 |
| REVANCE THERAPEUTICS, INC. |
Food and Beverage
In-kind items and services
|
DAXXIFY | General | $15.51 |
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Performed Procedures & Service Volume
CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2020โ2023 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 โ by Provider and Service data, 2021โ2024; 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 |
|---|---|---|---|---|
|
99204
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
|
39 | 39 | $498.15 | $136.36 |
|
99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
|
37 | 37 | $329.00 | $104.53 |
|
99203
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
|
11 | 11 | $326.00 | $91.55 |
|
99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
|
11 | 11 | $227.00 | $72.69 |
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.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Amoxicillin-Clavulanate Potass | Amoxicillin/Potassium Clav | 11 | 80 | $51.72 | 11 |
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2025-03-17NUCC 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.
NUCC 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.
Additional State Medicaid & Healthcare Payer Identifiers
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - NURSE PRACTITIONER
I20210316000364
VA
2062744170
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Secondary Practice Locations
46200 Potomac Run Plz
Sterling, VA 201646622
Phone: 7153135087
7051 Healthcote Vlg Wy, Suite 270
Gainesville, VA 20155
Phone: 5716369601
7504 Iron Bar Ln
Gainesville, VA 201552999
Phone: 7032146984
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 13767 RESTINA RD, BRISTOW, VA 201365788 (Tel: 7036659488)
Registered at 13767 RESTINA RD, BRISTOW, VA 201365788 (Tel: 7036659488)
Recorded as NANCY RAMIREZ, FNP-C
Registered at 46200 POTOMAC RUN PLZ, STERLING, VA 201646622 (Tel: 7153135087)
Registered at 46200 POTOMAC RUN PLZ, STERLING, VA 201646622 (Tel: 7153135087)
Nurse Practitioner (license number reported to NPPES: TX 1152392)
Registered at 390 N PACIFIC COAST HWY STE 1000, EL SEGUNDO, CA 902454401 (Tel: 3106409911)
Registered at 390 N PACIFIC COAST HWY STE 1000, EL SEGUNDO, CA 902454401 (Tel: 3106409911)
NPI status registered as active in NPPES database
Registered at 4 CONSTELLATION WAY, SAN PEDRO, CA 907324400 (Tel: 8326463303)
Registered at 4 CONSTELLATION WAY, SAN PEDRO, CA 907324400 (Tel: 8326463303)
Recorded as NANCY RAMIREZ
Nurse Practitioner (license number reported to NPPES: CA NP95011361)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Mailing Address
13767 Restina Rd
Bristow, VA 201365788
Phone: 7036659488