Della Reese M Ramirez , NP
Nurse Practitioner • Vancouver, WA
400 Ne Mother Joseph Pl
Vancouver, WA 986643200
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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Della Reese Ramirez is listed in NPPES under Nurse Practitioner.
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NPI assigned on July 7, 2006; this date does not establish years in practice.
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Published CMS data list 86 Original Medicare Part B services in 2018.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2018. Published rows only; this is not a quality measure.
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Published Part B service records, 2018:
- 99233 — Subsequent hospital care with moderate levelof medical decision making: 38 service units.
- 99222 — Initial hospital care with straightforward or low-level medical decision making: 22 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, 2018. Units differ by code; these are not visits or a measure of quality.
CPT® only copyright 2017 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2018). CPT notice
See all 4 records in the table · Guide: How to read Medicare Part B data
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Published CMS data list 60 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Clonazepam — 24 prescription fills, including refills.
- Trazodone Hcl — 12 prescription fills, including refills.
- Hydroxyzine Pamoate — 12 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 4 records in the table · Guide: How to read Medicare Part D prescriber data
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Fewer Part D prescriptions than 75% of clinicians listed under Nurse Practitioner in Vancouver, WA (2024, 26 clinicians with data). Median for this group: 117. Middle half: 61 to 524.
Fewer Part D prescriptions than 75% of clinicians listed under Nurse Practitioner in Washington (2024, 1,099 clinicians with data). Median for this group: 277. Middle half: 74 to 877.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 184 in 2017 to 86 in 2018.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2017–2018.
Practice Location & Contact Primary Location
400 Ne Mother Joseph Pl
Vancouver, WA 986643200
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
What Public CMS Data Show
Nurse Practitioner: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare-allowed amount
About $8,867 in 2018
The total amount Medicare approved for these services in 2018. 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, 2018.
Paid by Medicare
About $6,892 in 2018
The part of the Medicare-allowed amount that Medicare itself paid in 2018, 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, 2018.
30-day fills
60 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
$1,067 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 – by Provider and Drug, 2024.
Industry payments (Open Payments)
No Open Payments records are listed for this clinician for 2021–2025.
NPI first issued
2006
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.
Medicare assignment not listed
CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.
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.
Compared with the same specialty in Vancouver and Washington
Billing and prescribing volume is not a quality rating.
Medicare Part D prescriptions
Fewer Part D prescriptions than 75% of clinicians listed under Nurse Practitioner in Vancouver, WA (2024, 26 clinicians with data). Median for this group: 117. Middle half: 61 to 524.
Fewer Part D prescriptions than 75% of clinicians listed under Nurse Practitioner in Washington (2024, 1,099 clinicians with data). Median for this group: 277. Middle half: 74 to 877.
Part D drug cost
A lower Part D drug cost than 65% of clinicians listed under Nurse Practitioner in Vancouver, WA (2024, 26 clinicians with data). Median for this group: $2,987. Middle half: $847 to $92,750.
A lower Part D drug cost than 75% of clinicians listed under Nurse Practitioner in Washington (2024, 1,099 clinicians with data). Median for this group: $11,694. Middle half: $1,114 to $110,470.
Medicare Part B
Comparisons use 2024 data. The latest CMS data for Della Reese Ramirez are from 2018.
47 active clinicians are listed under Nurse Practitioner with a practice address in Vancouver, WA (2,310 in Washington).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Vancouver
14.9% of these 47 clinicians have the CMS telehealth indicator.
44.7% of these 47 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 53% from 184 in 2017 to 86 in 2018.
- 2017: 184
- 2018: 86
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Medicare-allowed amount
Medicare-allowed amount decreased 38% from $14,206 in 2017 to $8,867 in 2018.
- 2017: $14,206
- 2018: $8,867
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Paid by Medicare
Paid by Medicare decreased 37% from $10,874 in 2017 to $6,892 in 2018.
- 2017: $10,874
- 2018: $6,892
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Medicare Part D prescriptions
Medicare Part D prescriptions increased 58% from 38 in 2020 to 60 in 2024.
- 2020: 38
- 2021: 15
- 2022: 54
- 2023: 47
- 2024: 60
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30-day fills
30-day fills increased 29% from 47 in 2020 to 60 in 2024.
- 2020: 47
- 2021: 15
- 2022: 54
- 2023: 48
- 2024: 60
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Part D drug cost
Part D drug cost went from $922 in 2020 to $1,067 in 2024.
- 2020: $922
- 2021: $165
- 2022: $972
- 2023: $1,212
- 2024: $1,067
Sources: CMS Medicare Physician & Other Practitioners (2018), CMS Medicare Part D Prescribers (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 2016–2017 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, 2017–2018; 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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99233
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes
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38 | 26 | $257.00 | $88.71 |
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99222
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes
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22 | 21 | $337.00 | $116.32 |
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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 | 12 | $178.00 | $61.94 |
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99223
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes
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12 | 12 | $499.00 | $172.50 |
Source: CMS Part B by Provider and Service, 2018; 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 |
|---|---|---|---|---|---|
| Clonazepam | Clonazepam | 24 | 724 | $349.66 | — |
| Trazodone Hcl | Trazodone Hcl | 12 | 360 | $87.36 | — |
| Hydroxyzine Pamoate | Hydroxyzine Pamoate | 12 | 360 | $312.48 | — |
| Venlafaxine Hcl | Venlafaxine Hcl | 12 | 360 | $317.64 | — |
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
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
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Family Medicine
Doctor of Medicine (M.D.)
Psychiatry & Neurology - Psychiatry
Doctor of Medicine (M.D.)
Obstetrics & Gynecology
Doctor of Medicine (M.D.)
Family Medicine
Doctor of Medicine (M.D.)
Anesthesiology
Doctor of Medicine (M.D.)
Internal Medicine
Doctor of Medicine (M.D.)
Career & Practice History
NPI enumerated July 07, 2006.
No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to August 2026.
NPI Administrative Meta
Other Nurse Practitioners in Vancouver
- Catherine Owen, ARNP
- Claire Marks, ARNP
- Miranda Maring, NP
- Claudia Vizireanu, MSN
- Ashlee Tubb, NP
- Debra Harrington, APRN
Mailing Address
1115 Se 164th Ave, Dept. 358
Vancouver, WA 986839324
Phone: 3607291458