Randy Ramirez, AGACNP-BC appears in the CMS NPPES registry as a Acute Care Nurse Practitioner provider holding AGACNP-BC credentials at 5414 FREDERICKSBURG RD STE 100A, San Antonio, TX, 78229, with a listed phone of (210) 468-0800. NPI 1639613037 was issued on 12/05/2016. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what Ramirez most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 1,059 prescription claims written by this provider, covering 145 Medicare beneficiaries and totaling roughly $185K in drug spend, split 17% brand-name and 83% generic by claim count, with an opioid prescribing rate of 1.6%. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy.

Acute Care Nurse Practitioner is a mid-sized specialty nationwide, with 24,583 enrolled providers across 53 states and an average of 576 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.