NPPES file of Aug 9, 2026

Grisell Ramirez, FNP

Nurse Practitioner · Fresno, CA

Grisell Ramirez, FNP is a nurse practitioner with a practice address in Fresno, California, and NPI 1285987941, issued on Oct 18, 2012. Check the license (California 22068, as entered in NPPES) with the California 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 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1285987941
Name
Grisell Ramirez
Credential
FNP
Primary taxonomy
Nurse Practitioner 363L00000X
License number
22068 CA
Self-reported in NPPES; status is on the state search
Practice location
6327 N Fresno St Ste 101, Fresno, CA 93710
Phone
(559) 732-9900
Enumerated
Oct 18, 2012
Record last updated
Feb 11, 2026
Fax
(559) 732-9909
Medicare enrollment
Enrolled (PECOS I20181115001978); accepts Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 6327 N Fresno St Ste 101

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

  1. Charles Gavin, MDObstetrics & Gynecology Physician1184790735
  2. Maria Gutierrez, FNPNurse Practitioner1730727041
  3. Richard Shebelut, MDObstetrics & Gynecology Physician1285736058

Verify Grisell Ramirez in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich California board licenses this profession
    Search for license 22068
    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 California license search

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22% fewer Medicare Part D claims than the average nurse practitioner in 2024

870 Medicare Part D claims for 136 beneficiaries, against an average of 1,109 among the 54,319 providers of this specialty who prescribed in Part D. Brand-name drugs were 15% of claims. 35 claims were for opioids.

  1. Grisell Ramirez870
  2. Specialty average1,109

Most prescribed

  1. Prednisone122 claims
  2. Methotrexate114 claims
  3. Hydroxychloroquine Sulfate82 claims
  4. Diclofenac Sodium55 claims
  5. Gabapentin52 claims
  6. Duloxetine Hcl32 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.

Industry payments in 2024: $2,080.86

107 payments; by number, the most common kind was food and beverage; the largest payer was Abbvie 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. Grisell Ramirez$2,080.86
  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.

Bills Medicare through one group practice

  1. American Arthritis And Rheumatology Associates-CA PCFresno, CA

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Grisell Ramirez among 8,223 nurse practitioner records in California

Grisell Ramirez, FNP is one of 8,223 nurse practitioner records with a practice address in California. 65% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2012, is newer than 37% of them.

  • NPI issued2012 · 37% of these records are older, 61% newer
  • In a Medicare fileYes · 65% of these records are
  • In the CMS Doctors and Clinicians fileYes · 42% of these records are
  • Graduated2012 · median 2017 among the 3,425 with a school on file
  • Record last updated2026 · 45% 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 California practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

210 nurse practitioner records list a practice address in Fresno

They are 210 of the 19,440 NPPES records with a practice address in Fresno, and 8,223 nurse practitioner records in California.

The 8 nurse practitioner records with the nearest ZIP codes

  1. Lany Avakian, NPFresno, CA 937101689849879
  2. Vera Bernik, N.P.Fresno, CA 937101396159893
  3. Sharon Edwards, NPFresno, CA 937101205826294
  4. Ellen Gibbs, FNPFresno, CA 937101316946874
  5. Patricia Gresham, ANPFresno, CA 937101912043407
  6. Susan Harrington-Howard, NPFresno, CA 937101194731018
  7. Alice Jackson, RN NPFresno, CA 937101295754109
  8. Janene Jarrett, NPFresno, CA 937101396702544

Common questions

What is Grisell Ramirez, FNP's NPI number?

Grisell Ramirez, FNP's National Provider Identifier (NPI) is 1285987941, issued on Oct 18, 2012. An NPI identifies a provider in billing; it is not a license.

Where is Grisell Ramirez, FNP located?

The NPPES record lists a practice address at 6327 N Fresno St Ste 101, Fresno, CA, 93710. Phone: (559) 732-9900. Providers update this record themselves, so call before visiting.

How can I verify Grisell Ramirez, FNP's license?

NPPES lists California license number 22068, as entered by the provider. Search the California board that licenses this profession; the NPPES record confirms identity only.

How much does Grisell Ramirez, FNP prescribe under Medicare Part D?

In 2024, Grisell Ramirez, FNP had 870 Medicare Part D claims for 136 beneficiaries; the average among nurse practitioner prescribers was 1,109. Part D covers Medicare prescriptions only.

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.