Melanie Naomi Ramos, FNP
NPI 1043891047ActiveIndividual· Nurse Practitioner, Family· Houston, TX
Nurse Practitioner, Family (FNP) with Physicians Referral Service, practicing in Houston, Texas. Their prescriptions cost Medicare Part D more than their services did: $3,340,131 for 800 claims, against $10,000 paid for services in 2024. Syndax Pharmaceuticals, Inc. was the largest of 15 companies reporting payments in 2025, $1,145 in all, mostly food and beverage.
Overview
| NPI | 1043891047 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | FNP |
| Sole proprietor | No |
| NPI issued | Apr 20, 2021 |
| Last updated in NPPES | Dec 22, 2021 |
| Certified by provider | Dec 22, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 1046598 | TX |
| Registered Nurse, Oncology | 163WX0200X | 849745 | TX |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 156 |
|---|---|
| Services billed | 247 across 8 procedure codes |
| Paid by Medicare | $10,000 |
Part D prescriptions in 2024
| Prescriptions (claims) | 800 · 1,017 30-day fills |
|---|---|
| Patients | 114 |
| Total drug cost | $3,340,131 |
| Generic share | 61% of claims |
Education and affiliations
| Graduation year | 2021 |
|---|---|
| Medicare specialty | Nurse Practitioner |
| Telehealth | Offers telehealth |
Medical group
- Physicians Referral ServiceHouston, TX · 2,765 clinicians
Industry payments (Open Payments)
- 2025$1,145 · 40 payments from 15 companies
- 2024$982.03 · 35 payments from 15 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Syndax Pharmaceuticals, Inc. | $163.20 | 5 |
| Sobi, Inc | $119.06 | 4 |
| Lilly USA, LLC | $114.78 | 4 |
| Novartis Pharmaceuticals Corporation | $111.22 | 4 |
| Astrazeneca Pharmaceuticals LP | $109.49 | 4 |
What the 2025 payments were for
- Food and Beverage$1,122 · 39 payments
- Education$23.10 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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