NPI registry status
Active
2026 NPPES data Registered Nurse NPI 1104459106 FNP
Verify on CMS → Shelley Ramirez, FNP
Registered Nurse in Houston, Texas.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 177,204 in Registered Nurse, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
72
Medicare Part D claims · 50 beneficiaries · Registered Nurse avg: 1K
What the federal data shows
Shelley Ramirez, FNP filed 72 Medicare Part D claims in 2023 as a Registered Nurse in Houston, Texas.
- 72
- Part D claims, 2023
- ≥0th
- pct by Part D claim volume (lower-bound band)
Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.
Shelley Ramirez, FNP's Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023, across all CMS prescribers nationally
72 ≥ 0th percentile 0% of 1,370,886 prescribers are in lower value bands
Each bar is a band; taller bars hold more prescribers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.
The percentile is a conservative 100-claim band: it counts only prescribers in lower claim-volume bands. Medicare Part D claim volume is activity context, not a quality measure or recommendation. See methodology § corpus placement.
Source CMS Medicare Part D Prescriber Public Use File · 2023
What does the federal data show about Shelley Ramirez, FNP?
Quality data not reportedPrimary specialty
Registered Nurse
Medicare Part D claims
72 93% vs specialty avg
Specialty distribution in Texas
How Registered Nurse compares to other specialties among Texas providers
Board certification
Not published by CMS
CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Registered Nurse. Verify directly:
How MIPS and board certification work
The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.
Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).
Shelley Ramirez, FNP appears in the CMS NPPES registry as a Registered Nurse provider holding FNP credentials at 1155 DAIRY ASHFORD RD STE 560, Houston, TX, 77079, with a listed phone of (832) 470-3266. NPI 1104459106 was issued on 02/18/2020.
Medicare Part D records for calendar year 2023 show 72 prescription claims written by this provider, covering 50 Medicare beneficiaries and totaling roughly $710 in drug spend.
Registered Nurse is a high-volume specialty nationwide, with 177,204 enrolled providers across 56 states and an average of 1,000 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.
Practice Address
Provider Details
| NPI | 1104459106 |
|---|---|
| Specialty | Registered Nurse |
| Credentials | FNP |
| Gender | Female |
| NPI Issued | 02/18/2020 |
Hospital and facility affiliations
Facilities where Shelley Ramirez, FNP bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" - a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.
According to CMS billing records, Shelley Ramirez, FNP is affiliated with 3 Medicare-billing facilities.
Doctors Express OF The Beaumont Area PA
Baytown, TX
Houston Methodist Specialty Physicians
Houston, TX
Tmh Physician Associates PLLC
Houston, TX
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
License & disciplinary context - Texas TMB 2023 annual report
Aggregate state board data only, NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~77K Texas medical licensees in 2023 - they are NOT specific to Shelley Ramirez, FNP. To verify Shelley Ramirez, FNP's current license status, search the TMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
344
Total board actions, Texas 2023
Across 334 cases
4.47
Actions per 1,000 licensees
Texas statewide rate
probation
Most common action type
94 cases
TMB publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Texas disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
72
Total Claims
$710
Total Drug Cost
50
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 72
- Total Day Supply
- 482
- Generic Drug Cost
- $624
- Antibiotic Claims
- 35
Patient Demographics
- Average Patient Age
- 72.5 years
- Avg HCC Risk Score
- 0.81
- Gender Split
- 62% female / 38% male
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
| Drug | Claims |
|---|---|
| Methylprednisolone | 23 |
| Azithromycin | 14 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Registered Nurse Overview
How Shelley Ramirez, FNP fits within the Registered Nurse landscape nationally.
177,204
Registered Nurse Providers in US
56
States with Registered Nurse
1,000
Avg Claims per Provider
Shelley Ramirez, FNP's 72 claims are below the specialty average of 1,000.
Nearby Registered Nurse Providers in Texas
Other clinicians with the same primary specialty enrolled in Texas, drawn from the same CMS NPPES roster as Ramirez.
Dr. John Aalsma
R.N.
Hondo, TX
Mahum Aamir
Porter, TX
Jennifer Aanensen
San Antonio, TX
Dr. Tamieka Aaron
RN
Houston, TX
Robert Abad
San Antonio, TX
Compare Registered Nurse nationally: see state-by-state distribution →
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the Texas medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Registered Nurse peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
Healthcare Guides
Learn more about finding, verifying, and understanding healthcare providers.
How to Find a Doctor
Step-by-step guide to choosing a provider
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Check NPI, board certification & license status
Medical Specialties Explained
Who treats what and how specialties differ
Understanding Medicare Claims Data
What prescribing data reveals about a provider
In-Network vs Out-of-Network
How insurance networks affect your costs
Telehealth Guide
Virtual care options and coverage in 2026
Explore Texas
Frequently Asked Questions
What is Shelley Ramirez, FNP's specialty? ▼
Shelley Ramirez, FNP specializes in Registered Nurse and practices in Houston, Texas. Credentials: FNP.
How much does Shelley Ramirez, FNP prescribe under Medicare Part D? ▼
In 2023, Shelley Ramirez, FNP wrote 72 Medicare Part D claims totaling $710 in drug costs for 50 beneficiaries.
Where is Shelley Ramirez, FNP located? ▼
Shelley Ramirez, FNP is located at 1155 DAIRY ASHFORD RD STE 560, Houston, TX, 77079. Phone: (832) 470-3266.
What is Shelley Ramirez, FNP's NPI number? ▼
Shelley Ramirez, FNP's National Provider Identifier (NPI) is 1104459106, issued on 02/18/2020.
How many Registered Nurse providers are there in the US? ▼
There are 177,204 Registered Nurse providers across 56 states in the US. The average Registered Nurse provider writes 1,000 Medicare Part D claims per year.
What drugs does Shelley Ramirez, FNP prescribe most often? ▼
Based on 2023 Medicare Part D data, Shelley Ramirez, FNP's most frequently prescribed drugs include Methylprednisolone, Azithromycin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Shelley Ramirez, FNP accept Medicare? ▼
Shelley Ramirez, FNP appears in CMS Medicare data with 72 Part D claims and 50 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Shelley Ramirez, FNP's credentials? ▼
Shelley Ramirez, FNP's NPI is 1104459106 with credentials FNP. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.
Data Sources
View source datasets and methodology notes
- Provider Directory
- CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
- Specialty Classification
- NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
- Prescribing Data
- CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
- Limitations
- Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.
See our complete data methodology for details on how we collect and process government data.
Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).
Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of May 2026.