Individual provider Active NPI

Barbara Jissy Gamez Chang, APRN

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1669086401
Registry record updated Mar 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11007854 Issued in FL
Practice address
12478 SW 17TH LN
Miami, FL 33175-1563
Phone
(786) 447-5854
NPI assigned
Aug 31, 2020
Last updated
Mar 13, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11007854 FL Primary

Addresses

Primary practice location

12478 SW 17TH LN
Miami, FL 33175-1563

Mailing address

12478 SW 17TH LN
Miami, FL 33175-1563
Phone (786) 447-5854

Other names 1

  • Barbara Jissy Gamez Cicero Former name

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
I20230204000316 FL Practitioner - Nurse Practitioner 6800268640 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

5155 Corporate Way
Suite C
Jupiter, FL 33458-4359
Phone (561) 932-1212

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.7 of 100Reported as group
Quality
81.69
Improvement activities
40
Cost
76.73

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rheumatology and Endocrinology Specialists of the Palm Beaches, P.a. Single Specialty CurrentSince Oct 14, 2022 Accepting new patients

Locations

5155 Corporate Way
Ste C
Jupiter, FL 33458
Phone (561) 358-9633

5730 Corporate Way
Ste 200
West Palm Beach, FL 33407
Phone (561) 932-1212

Organizations & group practices 1

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

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1598832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678665600000",
    "number": "1669086401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12478 SW 17TH LN",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331751563",
            "telephone_number": "786-447-5854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12478 SW 17TH LN",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331751563",
            "telephone_number": "786-447-5854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAMEZ CHANG",
        "first_name": "BARBARA",
        "middle_name": "JISSY",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-31",
        "last_updated": "2023-03-13",
        "certification_date": "2023-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11007854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BARBARA",
            "last_name": "GAMEZ CICERO",
            "middle_name": "JISSY",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.