Individual provider Active NPI

Arianny Medina Marun

  • Family Nurse Practitioner
  • Hialeah, FL
National Provider Identifier
1760240683
Registry record updated Apr 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11031120 Issued in FL
Practice address
18300 NW 62ND Ave Ste 100
Hialeah, FL 33015-8207
Phone
(305) 749-6203
Fax
(786) 520-3173
NPI assigned
Mar 6, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2025

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 APRN11031120 FL Primary

Addresses

Primary practice location

18300 NW 62ND Ave Ste 100
Hialeah, FL 33015-8207

Mailing address

8210 SW 138TH Ave
Miami, FL 33183-4052
Phone (786) 873-2403

Other practice location 1

8210 SW 138th Ave
Miami, FL 33183-4052
Phone (786) 873-2403

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
I20250410000351 FL Practitioner - Nurse Practitioner 2668996711 Reassigns benefits to 1 organization

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
Reyna Health Trust IncGroup PAC ID 5395912778, 5 clinicians

Practice addresses (Care Compare)

18300 NW 62ND Ave
Suite 100
Miami Gardens, FL 33015-8207
Phone (305) 749-6203

Hospital & facility affiliations

  • Larkin Community Hospital Palm Springs Campus Hospital, Hialeah, FL, CCN 100050

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11031120FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Reyna Health Trust Inc CurrentSince Mar 17, 2025 Accepting new patients
Am Case Management, Inc. Current Accepting new patients

Locations

18300 NW 62nd Ave
Ste 100
Miami Gardens, FL 33015
Phone (305) 749-6203

2001 W 68th St
Miami Lakes, FL 33016
Phone (305) 364-2151

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 1

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": "1709683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744070400000",
    "number": "1760240683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8210 SW 138TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331834052",
            "telephone_number": "786-873-2403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18300 NW 62ND AVE STE 100",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330158207",
            "telephone_number": "305-749-6203",
            "fax_number": "786-520-3173"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8210 SW 138th Ave",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331834052",
            "country_code": "US",
            "telephone_number": "786-873-2403",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEDINA MARUN",
        "first_name": "ARIANNY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-06",
        "last_updated": "2025-04-08",
        "certification_date": "2025-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11031120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

Verify at the official NPI Registry.