Individual provider Active NPI

Mirelys Jimenez, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Miami, FL
National Provider Identifier
1497266944
Registry record updated Jun 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
11030672 Issued in FL
Practice address
3250 Mary St Ste 300
Miami, FL 33133-5293
Phone
(305) 908-1115
Fax
(305) 675-3135
NPI assigned
Oct 23, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 5, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 11030672 FL Primary

Addresses

Primary practice location

3250 Mary St Ste 300
Miami, FL 33133-5293

Mailing address

50 W 33Rd St
Hialeah, FL 33012-5222
Phone (786) 307-0497

Other practice location 1

50 W 33rd St
Hialeah, FL 33012-5222
Phone (786) 307-0497

Other practice location 2

12600 SW 120th St Ste 101
Miami, FL 33186-9115
Phone (305) 908-1115

Other practice location 3

363 S Homestead Blvd
Homestead, FL 33030-7309
Phone (305) 908-1115

Other practice location 4

13926 SW 47th St
Miami, FL 33175-4404
Phone (305) 908-1115

Other practice location 5

8300 W Flagler St Ste 210
Miami, FL 33144-6002
Phone (305) 908-1115

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241121003786 FL Practitioner - Nurse Practitioner 2365977766 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elevate Psychiatry LLCGroup PAC ID 1254696297, 27 clinicians

Practice addresses (Care Compare)

3250 Mary St
Suite 300
Miami, FL 33133-5293
Phone 3059081115324

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11030672FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ep Facility LLC CurrentSince Nov 25, 2024 Accepting new patients
Somos Vida Medical Center, LLC CurrentSince Oct 3, 2024 Accepting new patients
Somos Vida Medical Multiservice LLC CurrentSince Oct 3, 2024 Accepting new patients
Elevate Psychiatry LLC CurrentSince Nov 25, 2024 Accepting new patients

Locations

8200 NW 41st St
Ste 300
Doral, FL 33166

4201 Palm Ave
Hialeah, FL 33012
Phone (305) 556-2929

8300 W Flagler St
Ste 210
Miami, FL 33144
Phone (305) 553-0270

13926 SW 47th St
Miami, FL 33175
Phone (305) 340-5555

3250 Mary St
Ste 300
Miami, FL 33133
Phone (305) 900-6878

12600 SW 120th St
Ste 101
Miami, FL 33186
Phone (305) 506-1930

5190 NW 167th St
Ste 109
Miami Lakes, FL 33014
Phone (305) 384-6450

4064 SW 69th Ave
Miramar, FL 33023
Phone (954) 239-8847

20215 NW 2nd Ave
Ste 1
North Miami Beach, FL 33169
Phone (305) 652-4542

17061 Pines Blvd
Pembroke Pines, FL 33027
Phone (954) 417-8498

Interoperability endpoints

  • Direct secure messaging: mirelys.jimenez.1@18528.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/18528/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1508716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749081600000",
    "number": "1497266944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 W 33RD ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330125222",
            "telephone_number": "786-307-0497",
            "fax_number": "305-742-2190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3250 MARY ST STE 300",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331335293",
            "telephone_number": "305-908-1115",
            "fax_number": "305-675-3135"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "50 W 33rd St",
            "address_purpose": "LOCATION",
            "city": "Hialeah",
            "state": "FL",
            "postal_code": "330125222",
            "country_code": "US",
            "telephone_number": "786-307-0497",
            "fax_number": "305-742-2190",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12600 SW 120th St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331869115",
            "country_code": "US",
            "telephone_number": "305-908-1115",
            "fax_number": "305-675-3135",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "363 S Homestead Blvd",
            "address_purpose": "LOCATION",
            "city": "Homestead",
            "state": "FL",
            "postal_code": "330307309",
            "country_code": "US",
            "telephone_number": "305-908-1115",
            "fax_number": "305-675-3135",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13926 SW 47th St",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331754404",
            "country_code": "US",
            "telephone_number": "305-908-1115",
            "fax_number": "305-675-3135",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8300 W Flagler St Ste 210",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331446002",
            "country_code": "US",
            "telephone_number": "305-908-1115",
            "fax_number": "305-675-3135",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JIMENEZ",
        "first_name": "MIRELYS",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-23",
        "last_updated": "2025-06-05",
        "certification_date": "2025-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "11030672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.