Provider Profile
Listed in the NPI registry as a nurse practitioner, America D. Ramirez Sierra, NP practices in Tucson, AZ. According to Medicare claims data, America cared for 525 Medicare patients across 811 services. The services billed most often include testing for presence of drug, by chemistry analyzers, drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/m, and established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more. NPI 1699411868 identifies this record in the national registry.
Factual summary compiled by Guide.md from public records; not written by this provider.
Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.
4881 E GRANT RD
Tucson, AZ 85712
811 services · 525 patients · 8 distinct codes
| Procedure | Type | Code | Services | Compared with peers |
|---|---|---|---|---|
| Injection of trigger points, 3 or more muscles | Procedure | 20553 |
81 | More often than most peers in Nurse Practitioner |
| Ultrasonic guidance for needle placement | Imaging | 76942 |
81 | More often than most peers in Nurse Practitioner |
| Injection, triamcinolone acetonide, not otherwise specified, 10 mg | Drug given | J3301 |
47 | Less often than most peers in Nurse Practitioner |
| Testing for presence of drug, by chemistry analyzers | Lab test | 80307 |
261 | More often than most peers in Nurse Practitioner |
| Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/m | Billing code | G0481 |
165 | More often than most peers in Nurse Practitioner |
| Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | Office visit | 99214 |
130 | More often than most peers in Nurse Practitioner |
| Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | Office visit | 99213 |
33 | Less often than most peers in Nurse Practitioner |
| Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | Office visit | 99215 |
13 | Less often than most peers in Nurse Practitioner |
Source: CMS Medicare public data. Shows how often procedures were billed — not quality of care or patient satisfaction.
America D. Ramirez Sierra is a nurse practitioner in Tucson, AZ. That is the designation recorded for this NPI in the federal registry.
NPI registry
America D. Ramirez Sierra is listed at 4881 E Grant Rd, Tucson, AZ 85712. Addresses come from the NPI registry and can lag a move, so confirm before travelling.
NPI registry
The number on file is (520) 829-6776. Contact the office directly to confirm availability and scheduling.
NPI registry
America D. Ramirez Sierra's National Provider Identifier is 1699411868. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.
NPI registry
America D. Ramirez Sierra has 4+ years experience. Registered with an NPI since 2022. National Provider Identifiers only began in 2005, so a provider who qualified earlier may have practiced for longer than this.
NPI registry
According to Medicare billing data, America D. Ramirez Sierra performs procedures including injection of trigger points, 3 or more muscles; reads or performs imaging such as ultrasonic guidance for needle placement, alongside routine visits and testing. This reflects Medicare patients only and is billing volume, not a measure of quality.
Medicare claims
Not yet. This profile is built from public federal data and has not been confirmed by America D. Ramirez Sierra. If this is you, claiming it is free.
Guide.md
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