NPIMap

Beatriz R Acevedo

Individual provider Active NPI Certified Registered Nurse Anesthetist · Miami, FL

NPI 1013969948 · NPPES record last updated Aug 23, 2011

Key facts

NPI
1013969948
Entity type
Individual (NPI type 1)
Primary specialty
Certified Registered Nurse Anesthetist 367500000X
License
ARNP 2510502 (FL)
Practice address
1611 NW 12 Avenue
Miami, FL 33136
Phone
(305) 585-6586
NPI assigned
May 17, 2006
Sex
Female
Sole proprietor
Yes

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 23

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Medicare Care Compare profile

Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Public Health Trust of Miami Dade County Florida (469 clinicians)

Practice addresses (Care Compare)

1611 NW 12 Ave
Miami, FL 33136-1005
Phone (305) 585-1111

2801 NW 79TH Ave
Doral, FL 33122-1174
Phone (786) 466-1286

Hospital & facility affiliations

  • Jackson Health System Hospital · Miami, FL · CCN 100022

Merit-based Incentive Payment System (MIPS)

Final score
91.01 of 100 (group)
Quality
72.99
Promoting interoperability
82
Improvement activities
40
Cost
78.71

Medicare participation

Medicare fee-for-service enrollment
Enrolled in FL

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20080924000250 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 9032119318 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
ARNP 2510502FLMDCertified Registered Nurse Anesthetist

Practice roles (2 of 4)

OrganizationSpecialtyStatusNew patients
Public Health Trust of Miami Dade County Florida Current
since Jun 20, 2011		 Accepting new patients
Public Health Trust of Miami Dade County Florida Current
since Jun 20, 2011		 Accepting new patients

Locations

1611 NW 12th Ave
#300
Miami, FL 33136
Phone (305) 585-6970

1611 NW 12th Ave
#C300
Miami, FL 33136
Phone (305) 585-7037

1611 NW 12th Ave
Miami, FL 33136
Phone (305) 585-6226

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X ARNP 2510502 FL Yes

Addresses

Primary practice location

1611 NW 12 Avenue
Miami, FL 33136

Mailing address

1611 NW 12 Avenue
Miami, FL 33136
Phone (305) 585-6586

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 23, 2011.

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314057600000",
    "number": "1013969948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1611 NW 12 AVENUE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33136",
            "telephone_number": "305-585-6586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 NW 12 AVENUE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33136",
            "telephone_number": "305-585-6586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACEVEDO",
        "first_name": "BEATRIZ",
        "middle_name": "R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-17",
        "last_updated": "2011-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "ARNP 2510502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

All providers in Miami, FL · Certified Registered Nurse Anesthetist in Florida

Sources for this page

Verify at the official NPI Registry.