NPPES file of Aug 9, 2026

America Denisse Ramirez Sierra, NP

Nurse Practitioner · Tucson, AZ

America Denisse Ramirez Sierra, NP is a nurse practitioner with a practice address in Tucson, Arizona, and NPI 1699411868, issued on May 10, 2022. Check the license (Arizona 273525, as entered in NPPES) with the Arizona board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1699411868
Name
America Denisse Ramirez Sierra
Credential
NP
Primary taxonomy
Nurse Practitioner 363L00000X
License number
273525 AZ
Self-reported in NPPES; status is on the state search
Practice location
4881 E Grant RD, Tucson, AZ 85712
Phone
(520) 829-6776
Enumerated
May 10, 2022
Record last updated
May 10, 2022
Fax
(520) 829-6661
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). A record is not a license: verify it with the state board.
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Also registered at 4881 E Grant RD

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Walter Damper, D.OFamily Medicine Physician1639309180
  2. Victoria Taravella, PA-CPhysician Assistant1700559770
  3. Donna WoodsInternal Medicine Physician1811072051

Verify America Denisse Ramirez Sierra in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Arizona board licenses this profession
    Search for license 273525
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Arizona license search

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4.5 times the Medicare Part D claims of the average nurse practitioner in 2024

5,011 Medicare Part D claims for 630 beneficiaries, against an average of 1,109 among the 54,319 providers of this specialty who prescribed in Part D. Brand-name drugs were 6% of claims. 2,914 claims were for opioids.

  1. America Ramirez Sierra5,011
  2. Specialty average1,109

Most prescribed

  1. Oxycodone-Acetaminophen744 claims
  2. Hydrocodone-Acetaminophen734 claims
  3. Oxycodone Hcl478 claims
  4. Gabapentin398 claims
  5. Pregabalin356 claims
  6. Tizanidine Hcl312 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

The practice group's MIPS final score for 2023 (Medicare payment program): 38.6 of 100

The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score40.4
  2. Costout of 100 · 30%38.4
  3. Promoting interoperabilityout of 100 · 25%0.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).

Industry payments in 2024: $9,660.40

170 payments; by number, the most common kind was food and beverage; the largest payer was Saluda Medical Americas, Inc. The 38,884 providers of this specialty with any payment received $791.64 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. America Ramirez Sierra$9,660.40
  2. Specialty average$791.64

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

America Denisse Ramirez Sierra among 1,423 nurse practitioner records in Arizona

America Denisse Ramirez Sierra, NP is one of 1,423 nurse practitioner records with a practice address in Arizona. 74% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2022, is newer than 74% of them.

  • NPI issued2022 · 74% of these records are older, 21% newer
  • In a Medicare fileYes · 74% of these records are
  • In the CMS Doctors and Clinicians fileNo · 57% of these records are
  • Record last updated2022 · 39% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363L00000X and a Arizona practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Nurse Practitioner providers in Arizona

There are 1,423 nurse practitioner records in Arizona.

The 8 nurse practitioner records with the nearest ZIP codes

  1. Janice Barker, FNP-CTucson, AZ 857121609834399
  2. Lynne Best, WHCNPTucson, AZ 857121942228895
  3. Pamela Bogan, NPTucson, AZ 857121831269133
  4. Timothy Bohan, NPTucson, AZ 857121831271840
  5. Mary Brown, NPTucson, AZ 857121295774933
  6. Margaret Dolfini, NPTucson, AZ 857121174562821
  7. Sharon Falke, FNPTucson, AZ 857121578591947
  8. Helen Fleischman, MSN, FNP-CTucson, AZ 857121619953593

Common questions

What is America Denisse Ramirez Sierra, NP's NPI number?

America Denisse Ramirez Sierra, NP's National Provider Identifier (NPI) is 1699411868, issued on May 10, 2022. An NPI identifies a provider in billing; it is not a license.

Where is America Denisse Ramirez Sierra, NP located?

The NPPES record lists a practice address at 4881 E Grant RD, Tucson, AZ, 85712. Phone: (520) 829-6776. Providers update this record themselves, so call before visiting.

How can I verify America Denisse Ramirez Sierra, NP's license?

NPPES lists Arizona license number 273525, as entered by the provider. Search the Arizona board that licenses this profession; the NPPES record confirms identity only.

How much does America Denisse Ramirez Sierra, NP prescribe under Medicare Part D?

In 2024, America Denisse Ramirez Sierra, NP had 5,011 Medicare Part D claims for 630 beneficiaries; the average among nurse practitioner prescribers was 1,109. Part D covers Medicare prescriptions only.

What is America Denisse Ramirez Sierra, NP's MIPS final score?

The 2023 MIPS final score is 38.6 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.