Individual provider Active NPI

Ana Maria Mejia Jimenez

  • Psychiatric/Mental Health Nurse Practitioner
  • Miami, FL
National Provider Identifier
1760108187
Registry record updated Jun 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
11016485 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 17, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 11016485 FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 11016485 FL Primary

Addresses

Primary practice location

3250 Mary St Ste 300
Miami, FL 33133-5293

Mailing address

100 Kings Point Dr Apt 1510
Sunny Isles Beach, FL 33160-4730
Phone (407) 790-5983

Other practice location 1

12542 Pines Bvld
Pembroke Pines, FL 33027
Phone (407) 790-5983

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
I20230522002000 FL Practitioner - Nurse Practitioner 8123484946 Reassigns benefits to 2 organizations
Practice locations: Sunny Isles Beach, FL

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
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

8200 NW 41St St
Suite 300
Doral, FL 33166-6204
Phone (305) 908-1115

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11016485FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Elevate Psychiatry LLC CurrentSince Dec 21, 2023 Accepting new patients
Ep Facility LLC CurrentSince Jun 8, 2025 Accepting new patients

Locations

382 NE 191st St
Miami, FL 33179
Phone (305) 702-0185

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

Interoperability endpoints

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

Organizations & group practices 3

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": "1665964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748908800000",
    "number": "1760108187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 KINGS POINT DR APT 1510",
            "city": "SUNNY ISLES BEACH",
            "state": "FL",
            "postal_code": "331604730",
            "telephone_number": "407-790-5983"
        },
        {
            "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": "12542 Pines Bvld",
            "address_purpose": "LOCATION",
            "city": "Pembroke Pines",
            "state": "FL",
            "postal_code": "33027",
            "country_code": "US",
            "telephone_number": "407-790-5983",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEJIA JIMENEZ",
        "first_name": "ANA",
        "middle_name": "MARIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-17",
        "last_updated": "2025-06-03",
        "certification_date": "2025-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11016485",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "11016485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.