Quick answers
- Does Sierra J. Muilenburg-Alvarez accept Medicare assignment?
- Yes. Medicare's clinician data says Sierra J. Muilenburg-Alvarez accepts Medicare assignment (the Medicare-approved amount as full payment for covered services), as of October 2, 2026. Ask the office to confirm before your visit.
- How many Medicare patients does Sierra J. Muilenburg-Alvarez see?
- In 2024, CMS data shows 165 Original Medicare patients and 177 services for Sierra J. Muilenburg-Alvarez. This counts Original Medicare only and measures volume, not quality.
- What is Sierra J. Muilenburg-Alvarez's NPI number?
- 1154035996. The NPI (National Provider Identifier) is the clinician's permanent federal ID; you can look it up in the official NPI Registry.
Medicare activity in 2024
Official CMS public-use data for Sierra J. Muilenburg-Alvarez, data year 2024 (released May 21, 2026). It covers Original Medicare (fee-for-service) patients only, not Medicare Advantage or other insurance. It shows volume, not quality or outcomes. CMS hides any count of 10 or fewer patients.
| Original Medicare patients | 165 |
|---|---|
| Services billed to Medicare | 177 |
| Different services or procedures | 12 |
| Participating Medicare provider | Yes |
| Average age of these patients | 77 |
Most frequent services
- Emergency department visit with high level of medical decision making (99285)110 services
- Emergency department visit with moderate level of medical decision making (99284)38 services
- Critical care, first 30-74 minutes (99291)13 services
Chronic conditions among these patients
Share of this clinician’s Original Medicare patients with each condition, as published by CMS (it describes the patients, not the care given).
- High blood pressure75%
- High cholesterol75%
- Arthritis68%
- Ischemic heart disease54%
- COPD49%
- Anxiety46%
Practice locations
Addresses where Sierra J. Muilenburg-Alvarez is enrolled with Medicare (CMS data updated October 2, 2026).
- 17240 Cortez BlvdBrooksville, FL 34601 (352) 576‑5200
Group practices
Medicare enrollment lists Sierra J. Muilenburg-Alvarez as a member of this group (CMS data updated October 2, 2026).
- Paragon Emergency Services LLC418 clinicians in the group
Specialties
- Nurse Practitionerprimary
Other nurse practitioners in Brooksville
Clinicians with the same Medicare primary specialty in Brooksville, FL — not a recommendation.
Other clinicians in Paragon Emergency Services LLC
Medicare enrollment lists these clinicians in the same group practice — not a recommendation.
Clinician information
| Credential | NP |
|---|---|
| Graduation year | 2022 |
| Gender (as listed) | Female |
| Medicare assignment | Accepts (Medicare-approved amount as full payment) |
| NPI (National Provider Identifier) | 1154035996 |
| Corrections | Report an error or suggest an update → |
Most corrections must be made at the source: clinicians update their NPI Registry record (NPPES) and their Medicare enrollment (PECOS); this page follows the next data release.
Sources
- National Downloadable File (Doctors and Clinicians) — CMS, data updated October 2, 2026, retrieved October 29, 2026
- Medicare Physician & Other Practitioners - by Provider — CMS, data year 2024, released May 21, 2026; Medicare Physician & Other Practitioners - by Provider and Service
- NPI Registry — U.S. Department of Health and Human Services (NPPES), the clinician’s official record
- Medicare Care Compare — official Medicare tool to look up clinicians